Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
51864
Service:
DTV
Call Sign:
WNEU
Channel:
29 (UHF)
File Number:
0000028243
FRN:
0019509470
Date Submitted:
04/26/2023

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 524-6413 ANGELA.BALL@NBCUNI.COM Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Angela Ball

NBCUniversal, LLC

Angela Ball

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6413 Angela.Ball@nbcuni.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Use existing antenna and transmitter as interim facility. Install new antenna in position formerly used for analog antenna and install new transmitter for new channel. Remove old antenna and transmitter after transition.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model TDU25K00LV
Year 2001
Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power Capacity 5 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-36 EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 55 kW
Justification for New Transmitter Existing Transmitter is End Of Life and no longer supported by the vendor.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Proposal for Electrical Services attached
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Installation Costs

Transmitter Install

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type Class Class A
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: 70.0 kW
Manufacturer
Model TLP-16J
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? 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 Top
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 200.0 kW
Manufacturer
Model TFU-18JSC/VP-R C170
Year 2019
Justification for New Antenna New Side Mount antenna chosen because it will allow WNEU to remain on air while during the transition without purchase of an auxiliary transmitter and antenna.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
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? No

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1350 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Antenna Sweep Test

Antenna Sweep Test

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 150 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Rigid
Diameter 3 1/8 inches
Other Diameter N/A
Segment Length 19 1/2 inches
Other Segment Length N/A
Number of parallel runs 1
Length 150 feet per run
Justification for New Transmission Line New line is required so that we can maintain coverage during transition without purchasing a new auxiliary.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Removal of old tower line

Removal of old equipment to ensure tower is structurally compliant

Transmission line Components

T/L TUNER INDOOR USE 6-50 14-37 CU

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Leased
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? No
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 42° 29' 02.0" N-
Longitude (NAD83) 071° 35' 20.0" W-
Overall Structure Height 120.00 feet
Support Structure Height 120.00 feet
Ground Elevation Above Mean Sea Level (AMSL) 1326.00 feet
Structure Type LTOWER - Lattice Tower
Tower Owner Verres Financial
Date Constructed 02/03/1987


Primary Tower

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Tower Modification Costs

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

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Minor Tower Reinforcement

Minor Tower Reinforcement

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 520
Explanation Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development No
Prepare engineering section of Form FCC Construction Permit Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare engineering section of Form FCC License to Cover Application No
For Auxiliary Facility N/A
For Main Facility N/A
Prepare request for Special Temporary Authority No
Quantity N/A
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 No
Quantity N/A
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) Yes
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 20
Justification Ground Level RF System Design

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Internal Reimbursement

Compensation for internal resources essential to the Repack Effort

Other Expenses

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

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Other Expenses Not Listed

Name Description

DAC Monitoring System

DAC Monitoring System with sensors and cable box

Call Support

Call Support

Site Coordination Meeting

Site Coordination meeting and travel-logistics accrued cost

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,988,857.85 $398,057.85 N/A $209,734.25 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Primary Transmitter THU9-36 EVO $1,988,857.85 $398,057.85 $209,734.25
Installation Costs $163,932.85 $163,932.85 N/A $26,538.00 N/A
5 Ton system $20,250.00 $7,450.00 proposal attached N/A N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $210,000.00 N/A $183,196.25 N/A
Other Electrical Service: Proposal for Electrical Services attached $16,675.00 $16,675.00 N/A $0.00 N/A

Components

Actual Information Description File Name
Installation Costs

Component Description:
Credit Memo from invoices, 18C0008-001, 18C0008-002, 18C0008-003, 18C0008-004 and 7063.
Amount:
($124,533.85)

Component Description:
2nd payment please see attached quote- WNEU New main transmitter
Amount:
$35,034.38

Component Description:
3rd payment. please see attached quote- WNEU New main transmitter
Amount:
$48,438.66

Component Description:
Final payment please see attached quote- WNEU New main transmitter
Amount:
$9,315.05

Component Description:
WNEU - Invoice for the transmitter installation carried out by Marsand.
Amount:
$53,250.00

Component Description:
1st payment please see attached quote- WNEU New main transmitter
Amount:
$5,033.76

Component Description:
Perform Line sweep, Change Power, proof of performance on transmitter new power and documentation
Amount:
$12,861.00
5 Ton system Information not provided.
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
WNEU Transmitter invoice
Amount:
$183,196.25

Component Description:
Spinner UHF Kit for Antenna Monitoring
Amount:
$21,963.93
Other Electrical Service: Proposal for Electrical Services attached

Component Description:
Only Ice shield for HVAC cost requesting in this section. REVISED
Amount:
$1,250.00

Component Description:
Other electrical services
Amount:
N/A

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $270,050.00 $165,857.00 N/A $133,757.88 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Primary Antenna TFU-18JSC/VP-R C170 $270,050.00 $165,857.00 $133,757.88
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) $12,300.00 $10,298.00 N/A ($5,376.12) N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized $227,000.00 $125,700.00 N/A $125,700.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $16,425.00 N/A $0.00 N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) $7,600.00 $13,434.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Elbow complex 6-75 digit $13,434.00 N/A

Components

Actual Information Description File Name
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
ELBOW 3-50 EIA 6X9 CU, Parts Required for WNEU Installation costs plus sales tax. REVISED
Amount:
$2,131.38

Component Description:
Credit Memo - Elbow 6-75 digit are not qualified for reimbursement.
Amount:
($9,600.00)

Component Description:
Credit Memo - Elbow 6-75 Rein CU is paid by mistake. This is not reimbursable
Amount:
($3,834.00)

Component Description:
Elbow complex cost is not reimbursable
Amount:
N/A

Component Description:
Other - 6 1/8"Ohm EIA Elbow Complex
Amount:
$2,963.25

Component Description:
Not reimbursable
Amount:
N/A

Component Description:
Other 6 1/8" Ohm EIA Elbow Complex
Amount:
$2,963.25
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized

Component Description:
UHF-High Power Side Mount
Amount:
$12,570.00

Component Description:
UHF-High Power Side Mount
Amount:
$56,565.00

Component Description:
UHF-High Power Side Mount
Amount:
$56,565.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
Wrong upload
Amount:
N/A

Component Description:
Wrong
Amount:
N/A
Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed)

Component Description:
Elbow 3-50 please see attached invoice. REVISED
Amount:
$2,131.38

Component Description:
Wrong category
Amount:
N/A

Component Description:
Elbow 3-50 please see attached invoice.
Amount:
$2,131.38

Component Description:
Wrong category
Amount:
N/A

Component Description:
please see line 1 from the invoice same as line 2 from the quote for Elbow complex
Amount:
$9,600.00

Component Description:
Elbow 6-75 Rein. please see attached quote
Amount:
$3,834.00

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $384,749.39 $70,102.39 N/A $8,211.18 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Primary Transmission Line $381,749.39 $67,102.39 $8,211.18
Rigid Transmission Line - copper, 3 1/8" $15,600.00 $35,000.00 Exceed estimated cost ($13,953.00) 0
Removal of old tower line $2,567.50 $2,567.50 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $2,567.50 N/A
Transmission line Components $15,581.89 $15,581.89 ***System Notice: Estimate adjusted and locked because line has been superseded.***T/L TUNER and other component $5,643.68 N/A
Rigid Transmission Line - copper, 6 1/8" broadband $348,000.00 $13,953.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $13,953.00 N/A
Primary Transmission Line $3,000.00 $3,000.00 $0.00
Antenna Sweep Test $3,000.00 $3,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 3 1/8"

Component Description:
Credit Memo - Rigid Transmission line copper $3,281, line 1 and XFMR 6-50, $2,125, line 2 are not qualified for reimbursement
Amount:
($5,406.00)

Component Description:
Credit Memo - T/L 6-75 EIA EHT Length item was paid my mistake. This is not reimbursable.
Amount:
($2,504.00)

Component Description:
Credit Memo - Rigid Transmission line T/L 6-75 Length is not reimbursable
Amount:
($4,743.00)

Component Description:
Credit Memo - T/L 6-75 EIA length up to 5' fixed not qualified for reimbursement.
Amount:
($1,300.00)
Removal of old tower line

Component Description:
Decommissioning of WNEU CH34
Amount:
$2,567.50
Transmission line Components

Component Description:
Transmission line components. please find attached quote.
Amount:
$5,643.68

Component Description:
WNEU_T/L components- hanger Vertical and Assy.
Amount:
$9,938.20

Component Description:
WNEU_T/L components- hanger Vertical and Assy. REVISED
Amount:
$9,938.20
Rigid Transmission Line - copper, 6 1/8" broadband

Component Description:
Not reimbursable
Amount:
N/A

Component Description:
not reimbursable
Amount:
N/A

Component Description:
please see line 2 from the invoice and 3 from the attached quote for T/L 6-75 EIA Length
Amount:
$1,300.00

Component Description:
This is the downpayment invoice and quote for the transmission line for WNEU. We are asking to be invoice for the total amount of this invoice.
Amount:
$99,615.92

Component Description:
T/L 6-75 EIA length 5' to 10'. please see attached quote
Amount:
$1,581.00

Component Description:
This the second payment invoice and quote for the transmission line for WNEU. We are asking to be reimbursed for the total amount of the invoice.
Amount:
$99,615.92

Component Description:
Rigid transmission line Copper _ please see attached quote
Amount:
$5,406.00

Component Description:
Line item 1, Rigid Transmission Line costs, ship through FEDEX Priority, and are included here. REVISED
Amount:
N/A

Component Description:
Non-reimbursable. Matching quote non-retrievable
Amount:
N/A

Component Description:
T/L 6-75 EIA EHT length. please fins attached quote.
Amount:
$2,504.00

Component Description:
Rigid Transmission line- please find attached quote.
Amount:
$2,022.49

Component Description:
RIGID TRANSMISSION LINE. Please see attached quote.
Amount:
$4,743.00
Antenna Sweep Test Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,177,967.00 $366,222.34 N/A $229,355.34 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Primary Tower LTOWER $1,177,967.00 $366,222.34 $229,355.34
Serious tower reinforcement/modifications $1,052,000.00 $224,855.34 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $224,855.34 N/A
Minor Tower Reinforcement $29,167.00 $29,167.00 N/A $0.00 N/A
Short Tower (less than 500') $84,200.00 $84,200.00 N/A N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $28,000.00 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $4,500.00 N/A

Components

Actual Information Description File Name
Serious tower reinforcement/modifications

Component Description:
2nd payment for the tower-rigging for Antenna and T/L line installation
Amount:
N/A

Component Description:
move WNEU antenna(Side-mounted to lattice support structure
Amount:
$8,750.00

Component Description:
Capital Contribution - WNEU Channel 29 phase 4/ Milestone true up.
Amount:
$8,845.79

Component Description:
Weather day (5 days, 24 hours) precipitation measurements- please see attached quote in details
Amount:
$20,000.00

Component Description:
Invoice reimbursed by mistake. This is not reimbursable item.
Amount:
($3,834.00)

Component Description:
Move WNEU antenna from RC 1031 to 1215 side mounted to lattice support structure; Extend 6 inches transmission line from 1031 to 1215 inches while tower is rigged for bba tower work are included here for reimbursement. REVISED
Amount:
$8,750.00

Component Description:
The invoice was reimbursed by mistake
Amount:
($4,743.00)

Component Description:
Tower modifications costs and rigging do not qualify for reimbursement
Amount:
($19,470.25)

Component Description:
Weather day(7 day, 24 hours), precipitation measurements. please find details in Quote
Amount:
$28,000.00

Component Description:
Complex tower costs do not qualify for reimbursement
Amount:
($17,500.00)

Component Description:
Capital contributions- WNEU Channel 29 phase 4 True up/Broadcast Repack. please see line 5 from the attached quote.
Amount:
$19,470.25

Component Description:
Move WNEU antenna to lattice support structure. REVISED
Amount:
$17,500.00

Component Description:
1st installation of the tower work for WNEU- Antenna and T/L installation. please find attached quote.
Amount:
$88,427.67

Component Description:
Tower modification costs and rigging do not qualify for reimbursement
Amount:
($8,845.79)

Component Description:
Using Tower & rigging cost section in 399 to upload Credit memo for the invoice 520009, Not reimbursable, since System locked antenna section particular line item to offset respective dollar (10,900.00)
Amount:
($10,900.00)

Component Description:
Installation of 6" transmission line- please see attached quote.
Amount:
$88,427.67

Component Description:
Move WNEU antenna to lattice support structure.
Amount:
$17,500.00

Component Description:
Invoice is not qualified for reimbursement, current review decision
Amount:
($5,406.00)

Component Description:
Paid by mistake. This is invoice is not reimbursable
Amount:
($2,504.00)

Component Description:
Serious tower reinforcement/modifications
Amount:
N/A

Component Description:
2nd payment for the tower-rigging for Antenna and T/L line installation
Amount:
$88,427.67
Minor Tower Reinforcement

Component Description:
Minor Tower Reinforcement
Amount:
N/A

Component Description:
Proposed Ice Shield Over Outside Heat Exchangers, Cost of new top plate and antenna support structure are included here for reimbursement. REVISED
Amount:
$7,291.25

Component Description:
Proposed Ice Shield Over Outside Heat Exchangers; Cost of new top plate and antenna support structure. These costs are included here for reimbursement. REVISED
Amount:
$17,083.50

Component Description:
Please see page 2 of the invoice with HVAC and minor reinforcement cost only requesting under this section.
Amount:
$8,542.00

Component Description:
minor tower reinforcement cost included this section
Amount:
$17,084.00

Component Description:
Ice HVAC Shield and Minor Tower Enforcement do not qualify for reimbursement.
Amount:
($17,083.50)
Short Tower (less than 500') Information not provided.
Structural engineering tower load study for well documented tower

Component Description:
Perform line sweep, proof of performance and documentation. please see attached quote.
Amount:
$13,940.59

Component Description:
Tower mapping and prepare documentations for tower study loads do not qualify for reimbursement
Amount:
($4,960.00)

Component Description:
Structural Analysis
Amount:
$4,500.00

Component Description:
Structural engineering tower load study cost do not qualify for reimbursement
Amount:
($3,800.00)

Component Description:
Tower Mapping and prepare documentations for tower load study
Amount:
$4,960.00

Component Description:
Structural engineering tower load study cost only
Amount:
$3,800.00

Component Description:
WRONG CATEGORY
Amount:
N/A

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $227,031.80 $412,686.69 N/A $355,725.36 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Outside Professional Services $227,031.80 $412,686.69 $355,725.36
Internal Reimbursement $4,631.80 $4,631.80 N/A $800.00 N/A
Additional Field Engineering Service, 20 Days $20,000.00 $20,000.00 Ground level RF design $15,707.28 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 $47,600.00 N/A $47,600.00 N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase $2,105.00 $2,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $405.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $2,713.95 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $5,861.10 transition timing and coordination issues w/ other stations and wireless $5,861.10 N/A
Prepare and or review reimbursement form $2,630.00 $10,343.79 Prepare and or review reimbursement form $10,343.79 N/A
Project management of the transition $82,160.00 $295,000.00 Project Management costs have exceeded initial estimated amount $272,294.24 N/A

Components

Actual Information Description File Name
Internal Reimbursement

Component Description:
NBC- Invoice for Doug Lung time worked on Repack- WNEU
Amount:
$1,920.00

Component Description:
Invoice for Doug Lung time worked on Repack -WNEU
Amount:
$1,591.80

Component Description:
NBC- Invoice for Doug Lung time worked on Repack -WNEU
Amount:
$320.00

Component Description:
Invoice for Doug Lung time worked on Repack -WNEU
Amount:
$800.00
Additional Field Engineering Service, 20 Days

Component Description:
NBC Boston - Field Strength Measurement
Amount:
$4,021.78

Component Description:
Crew mobilization to perform a full TIA level inspection.
Amount:
$2,470.00

Component Description:
WNEU_ Field service.
Amount:
$9,215.50
RF Exposure Measurements Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
Field strength measurements
Amount:
$23,800.00

Component Description:
Field Strength Measurements. REVISED
Amount:
$23,800.00

Component Description:
Field Strength Measurements. REVISED
Amount:
$23,800.00

Component Description:
Field strength measurements
Amount:
$23,800.00
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$405.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$130.95

Component Description:
See lines 1 & 2 of invoice, less 10% vendor discount.
Amount:
$151.20

Component Description:
Preparation of minor change application
Amount:
$226.80

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$2,205.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$142.80

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$2,385.00

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$321.30

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$464.10

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$550.80

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$872.10

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$180.00

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$945.00
Prepare and or review reimbursement form

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$8,398.80

Component Description:
See lines 3-6 of invoice, less 10% vendor discount.
Amount:
$598.59

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$45.00

Component Description:
Review of Form 399
Amount:
$43.65

Component Description:
Review of Form 399
Amount:
$43.65

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$45.00

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$611.10

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$45.90

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$107.10

Component Description:
Post-Auction Repacking - WNEU; NBCU1817; Wilkinson Barker Knauer, LLP
Amount:
$405.00
Project management of the transition

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864. REVISED
Amount:
$3,600.00

Component Description:
Project Management Services for WNEU Station
Amount:
$11,060.00

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864. REVISED
Amount:
$2,250.00

Component Description:
WNEU-Boston-Program Leader-Management Service REVISED
Amount:
$17,527.60

Component Description:
Project Management Services for WNEU Station
Amount:
$3,304.00

Component Description:
WNEU-Boston-Engagement Leader- Project Management Services-51864
Amount:
$19,414.00

Component Description:
Point B Project Management January 2019
Amount:
$5,550.00

Component Description:
WNEU Project Management Fees from Point B
Amount:
$4,609.20

Component Description:
WNEU Project Management Fees from Point B
Amount:
$1,896.00

Component Description:
Professional services
Amount:
$1,896.00

Component Description:
July 2018 Project Management
Amount:
$7,345.00

Component Description:
Project Management Services
Amount:
$1,072.50

Component Description:
August 2018 Project Management
Amount:
$4,021.78

Component Description:
Project Management Services for WNEU Station
Amount:
$948.00

Component Description:
Project Management Services
Amount:
$2,145.00

Component Description:
WNEU-Project Management Services- 51864
Amount:
$3,871.00

Component Description:
August 2018 Project Management
Amount:
$4,775.00

Component Description:
WNEU - Point B Project Management December 2019
Amount:
$4,609.20

Component Description:
WNEU Project Management Fees from Point B
Amount:
$16,136.00

Component Description:
WNEU - VoiceNation invoice for call support September 2019
Amount:
$425.00

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services-51864
Amount:
$3,600.00

Component Description:
Project Management Services
Amount:
$1,365.00

Component Description:
11-WNEU-Boston-Engagement Leader-Project Management Services
Amount:
$1,365.00

Component Description:
WNEU - Point B invoice April 2020
Amount:
$5,646.00

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864
Amount:
$7,147.90

Component Description:
Project management of the transition
Amount:
N/A

Component Description:
Project management and travel expenses
Amount:
$2,596.34

Component Description:
Project management costs do not qualify for reimbursement
Amount:
($3,500.00)

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864. REVISED
Amount:
$16,874.00

Component Description:
Project Management Services for WNEU Station
Amount:
$10,204.00

Component Description:
Project Management
Amount:
$2,250.00

Component Description:
WNEU - Point B Project Management January 2020
Amount:
$4,370.00

Component Description:
WNEU - Point B Project Management July 2019
Amount:
$24,163.00

Component Description:
Project Management Services for WNEU Station
Amount:
$15,002.00

Component Description:
Project Management Services
Amount:
$348.95

Component Description:
WNEU Project Management Fees from Point B
Amount:
$10,446.00

Component Description:
Please see 2nd page of the invoice for only Project management section
Amount:
$1,750.00

Component Description:
Project MGMT- ATC site: WNEU Channel 29 phase 4
Amount:
$9,480.00

Component Description:
11-WNEU-Boston-Engagement Leader-Project Management Services
Amount:
$2,916.74

Component Description:
Project management for ATC site was not qualified for reimbursement.
Amount:
($9,480.00)

Component Description:
WNEU-Boston-Repack Finance Resource- Project Management Services- 51864
Amount:
$11,060.00

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864. REVISED
Amount:
$6,870.10

Component Description:
Point B project management for the month of February 2019. See line item.
Amount:
$2,250.00

Component Description:
Team dinner and In-flight wifi cost deducted from the payment request.
Amount:
$780.21

Component Description:
June 2018 Project Management
Amount:
$2,685.00

Component Description:
Modification project management and RF installation project management. Coordination and transition planning with all parties onsite; are included here for reimbursement.
Amount:
$1,750.00

Component Description:
Project Management Services for WNEU Station
Amount:
$1,975.00

Component Description:
Project Management Services
Amount:
$975.00

Component Description:
Project management services. please see invoice page 2 for details breakdown
Amount:
$3,500.00

Component Description:
Repack Finance Resource-Project Management Services for WNEU
Amount:
$474.00

Component Description:
Project management service please see invoice page 2 for breakdown. REVISED
Amount:
$3,500.00

Component Description:
October 2018 Project Management. Updated invoice with attached receipts. Incorrectly invoiced for 320.40 that is why the cost is being reversed on the invoice.
Amount:
$7,147.90

Component Description:
WNEU Point B invoice March 2020
Amount:
$4,770.00

Component Description:
WNEU Point B invoice February 2020
Amount:
$5,690.00

Component Description:
Project Management
Amount:
$882.58

Component Description:
WNEU Project Management fees from Point B
Amount:
$4,370.00

Component Description:
Project management services for the station_Revised
Amount:
$3,600.00

Component Description:
WNEU-Boston-Repack Finance Resource- Project Management Services- 51864
Amount:
$1,185.00

Component Description:
WNEU-Boston-Program Leader-Project. Management Services- 51864. REVISED
Amount:
$6,900.00

Component Description:
Project Management
Amount:
$5,830.00

Component Description:
PM work for the Station WNEU_ REVISED
Amount:
$5,830.00

Component Description:
Project Management Services for WNEU Station
Amount:
$3,318.00

Component Description:
WNEU - Point B Project Management October 2019
Amount:
$9,660.00

Component Description:
September 2018 Project Management
Amount:
$8,835.00

Component Description:
WNEU-Boston-Engagement Leader- Project Management Services-51864
Amount:
$16,874.00

Component Description:
Project Management Services for WNEU Station
Amount:
$948.00

Component Description:
Project management and travel expenses
Amount:
$1,327.34

Component Description:
WNEU - Point B Project Management November 2019
Amount:
$6,705.00

Component Description:
Project management service expenses are requested here. REVISED
Amount:
$4,598.00

Component Description:
T&E expenses for WNEU.
Amount:
$882.58

Component Description:
WNEU-Boston-Engagement Leader-Project Management Services- 51864. REVISED
Amount:
$2,916.74

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $129,575.50 $123,260.50 N/A $38,865.66 N/A
Total for all systems $4,178,231.54 $1,536,186.77 N/A $975,649.67 N/A
Other Expenses $129,575.50 $123,260.50 $38,865.66
Site Coordination Meeting $1,714.00 $1,714.00 N/A $0.00 N/A
Call Support $212.50 $212.50 N/A $212.50 N/A
DAC Monitoring System $29,069.00 $29,069.00 DAC Monitoring System $0.00 N/A
Local Zoning $0.00 $0.00 N/A N/A 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 $5,250.00 N/A $5,250.00 N/A
MVPD Notification of Channel Change $12,000.00 $12,000.00 N/A $0.00 N/A
Develop and air announcement of upcoming channel change $20,000.00 $20,000.00 N/A N/A N/A
Equipment Storage $23,000.00 $23,000.00 N/A $18,682.00 N/A
Equipment Delivery and Handling Charges $17,000.00 $17,000.00 N/A $14,721.16 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $12,000.00 $12,000.00 Removal of old transmitter and cooling equipment $0.00 N/A
Non-zoning permits $2,500.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Site Coordination Meeting

Component Description:
SITE COORDINATION MEETING. REVISED
Amount:
$857.00

Component Description:
Site coordination meetings with all broadcasters, contractors and vendors involved with the site deliveries and construction. This cost is for travel and logistics expenses accrued; are included here for reimbursement. REVISED
Amount:
$429.00

Component Description:
Site Coordination meeting. Invoice amount 857 which is excel round up value. Exact amount should be .75 less than that.
Amount:
$856.00

Component Description:
Site coordination meeting
Amount:
N/A

Component Description:
Site coordination meeting does not qualify for reimbursement
Amount:
($857.00)

Component Description:
only site coordination cost are requested in this section
Amount:
$429.00
Call Support

Component Description:
50% split for WNEU and WYCN. Half of the $425.00, which is equivalent to $212.50 is the portion for WNEU. Live answering service. REVISED REVISED
Amount:
$212.50

Component Description:
call support expenses split between WYCN and WNEU.
Amount:
$212.50
DAC Monitoring System

Component Description:
Full invoice amount for DAC Monitoring System
Amount:
$29,069.00
Local Zoning Information not provided.
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:
WNEU FCC ID 51864 Medical Notification Mailing Complete per FCC Repack
Amount:
$5,250.00

Component Description:
WNEU FCC ID 51864 Medical Notification Mailing. REVISED
Amount:
$5,250.00
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Line 2, Chapman 48 inches flatbed storage costs are here for reimbursement. REVISED
Amount:
$5,100.00

Component Description:
Consolidation & Storage WNEU
Amount:
$11,137.00

Component Description:
Equipment storage and transportation
Amount:
$2,645.00

Component Description:
17 Weeks of Storage
Amount:
$5,100.00

Component Description:
Equipment storage charge
Amount:
$5,100.00

Component Description:
Moving and Storage
Amount:
$1,235.00

Component Description:
PAF Van storage charge. please see line 2.
Amount:
$2,445.00
Equipment Delivery and Handling Charges

Component Description:
Requesting full amount of Total Line Haul and Gap Insurance.
Amount:
$1,036.12

Component Description:
Freight, shipping, and handling costs. REVISED
Amount:
$1,911.19

Component Description:
Freight, shipping and handling
Amount:
$1,911.19

Component Description:
Requesting Total Line Haul, and Gap Insurance. REVISED
Amount:
$3,003.85

Component Description:
Total Line Haul Fuel SUrcharge Lift Gate Origin Gap insurance Inside delivery
Amount:
$4,025.35

Component Description:
non reimbursable items deducted, please see cover letter and Station EIN has been used for submission
Amount:
$1,036.12

Component Description:
Non-reimbursable
Amount:
N/A

Component Description:
Total Line Haul Driver Unload Lift Gate Destination
Amount:
$1,610.00

Component Description:
Total Line Haul Fuel Surcharge Percent Gap insurance Notify Consignee Redelivary California Compliance Surch Outbound
Amount:
$1,281.83

Component Description:
Freight, shipping cost with revised invoice package. please see line 1
Amount:
$3,595.00

Component Description:
Local transportation, travel and disposal
Amount:
$2,645.00

Component Description:
please see cover letter. Station WNEU EIN used for submission for this item.
Amount:
$3,003.85

Component Description:
Freight and handling cost
Amount:
$1,911.19

Component Description:
WNEU Gallo Invoice for transportation and handling of equipment
Amount:
$2,645.00

Component Description:
Only Line Haul expenses are requested for reimbursement, using station EIN since Vendor's EIN not manageable.
Amount:
$1,295.00

Component Description:
Local transportation and disposal service. REVISED
Amount:
$1,235.00

Component Description:
Requesting for Total Line Haul, Driver Unload, and Lift Gate Destination
Amount:
$1,610.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Non-zoning permits Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $4,178,231.54 $1,536,186.77 $975,649.67

Reimbursement Status

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

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Angela Ball

Assistant Secretary


04/26/2023

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Angela Ball

Assistant Secretary


04/26/2023

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Angela Ball

Assistant Secretary


04/26/2023

Attachments

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