TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

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) 542-6413	ANGELA.BALL@NBCUNI.COM	Limited Liability Company

Applicant

Address

Phone

Applicant Type

NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 542-6413

ANGELA.BALL@NBCUNI.COM

Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Angela Ball Assistant Secretary NBCUniversal, LLC	300 New Jersey Ave. NW Suite 700 Washington, DC 20001 United States	+1 (202) 524-6413	Angela.Ball@nbcuni.com

Applicant

Address

Phone

Angela Ball

Assistant Secretary

NBCUniversal, LLC

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

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	Install new transmitter for new channel, keep old transmitter in place for use until antenna is replaced. During antenna replacement operate from existing auxiliary site. After channel change return to new main. Replace auxiliary filter.

Transmitters

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

Auxiliary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Retune Existing
	Use	Auxiliary (Backup)
	Ownership	Owned
	Owner	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	Rohde & Schwarz
	Model	NV8000
	Year	2013
	Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	9.43 kW

Auxiliary Transmitter

Retuning Transmitter Costs

Section	Question	Response
New IOT Tubes	Number of Tubes (including accessories) needed	N/A
New Mask Filter
	Power	10 kW
	Other Power	N/A
New Exciter	Is a new exciter needed?	No

Auxiliary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	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

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Information not provided.

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	DCX
	Year	2001
	Type	Inductive Output Tube
	IOT Power Type	Two
	Power Capacity	40 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	THU9-20
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	31 kW
	Justification for New Transmitter	New Transmitter required as the current transmitter is not longer supported (see attached note) 31 KW TPO chosen to allow one step of headroom. Solid State transmitter chosen as it is less expensive then a new solid state (see attached proposal.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	See attached proposal
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Cooling Only
	Size	20 tons
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	Yes
	Size	150.0 square feet
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Willis Tower Building Improvements	Detailed proposal attached
General Condition- permits-Bonds-Certifications, Insurance, Contractor fee, Overhead	General Condition- permits-Bonds-Certifications, Insurance, Contractor fee, Overhead
Transmitter Installation	Installation, Supervision, Test, and Commissioning of new transmitter

Antennas

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

Auxiliary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Retune Existing
	Antenna Use	Auxiliary (Backup)
	Description of Use	Used to maintain coverage when main transmitter or antenna is unavilable
	Ownership	Leased
	Owner	American Tower
	Site	N/A
	Is the existing antenna shared with another station or stations?	Yes
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	No
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Broadband Panel
	Number of Stations Supported	2
	Number of Panels	12
	Design power capacity in use	50.0 %
	Lower Limit	470.00 MHz
	Upper Limit	860.00 MHz
	Other Antenna Type	N/A
	ERP:	350.0 kW
	Manufacturer	Dielectric
	Model	TUF-C4-12/48U-2B
	Year	2013

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID	Call Sign
72115	WGN-TV
73226	WLS-TV

Auxiliary Antenna

Adjustment to Existing Antenna

Section	Question	Response
Sweep Test of Existing Antenna	Do you need a sweep test of existing antenna?	Yes

Auxiliary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?	Yes
	Type	Additional Module
	Number of channels supported	1
	Frequencies of channels supported	RF channel
	Frequency	N/A

Enter a list of RF channel numbers.

RF Channel Number
33

Auxiliary Antenna

Other Antenna Cost Not Listed

Information not provided.

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is the existing antenna shared with another station or stations?	No
	Is the existing antenna directional?	Yes
	Is antenna in operating condition?	Yes
	Is antenna located on or in close proximity to an antenna farm?	No
Existing Antenna Manufacturer and Type	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Bottom
	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:	350.0 kW
	Manufacturer
	Model	TFU-12GBH-O6
	Year	2001

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Middle
	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:	377.0 kW
	Manufacturer
	Model	TFU-12GBH/VP-R O6
	Year	2019
	Justification for New Antenna	The current antenna is a single channel antenna (ch 29) and will not work on the new channel (ch 33)

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?
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

Name	Description
Willis Tower East	Shared combiner facility for Willis Tower tenants

Transmission Line

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

Primary Transmission Line

Existing Transmission Line

Section	Question	Response
Existing Transmission Line Description	Type of change	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	500 feet per run

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Adapters and Transitions	Connectors & Transitions to reuse Transmission line
RF Transmission Line layout	RF Transmission Line layout

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?	Located on Building
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	No
	Is tower documented for structural analysis?	Yes
	Is tower compliant with Rev G?	Unknown
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1032959
Coordinates (NAD83)	Latitude (NAD83)	41° 52' 44.1" N-
	Longitude (NAD83)	087° 38' 10.2" W-
	Overall Structure Height	1729.97 feet
	Support Structure Height	1435.35 feet
	Ground Elevation Above Mean Sea Level (AMSL)	595.14 feet
	Structure Type	BTWR - Building with Tower
	Tower Owner	BRE 312 Broadcast, LLC
	Date Constructed	01/01/2002

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
22211	WFLD	DTV
73226	WLS-TV	DTV
19525	WKQX	FM
168662	WMEU-CD	DTV
71425	WWME-CD	DTV
48772	WPWR-TV	DTV
71428	WCIU-TV	DTV
72115	WGN-TV	DTV
70119	WSNS-TV	DTV
10802	WTTW	DTV
10801	WFMT	FM
12279	WYCC	DTV
66978	WEDE-CD	DTV

Primary Tower

Tower Modification Costs

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

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	Located on Building
Helicopter Services Required	Are helicopter services required?	Yes

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	1040
	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	Yes
	For Main Facility	Yes
	Prepare and file Form FCC License to Cover Application	Yes
	For Auxiliary Facility	Yes
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	1
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	No
	FAA Consultation (including preparation of FAA Form 7460)	No
	Negotiation of Lease and other Matter for Shared Locations	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	Yes
	Additional Field Engineering Service	Yes
	Number of Days	40
	Justification	internal to building RF engineering

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Internal Reimbursement	Internal Reimbursement for Doug Lung

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	Yes
AM Pattern Disturbance	Is Remediation needed?	No
Facility Expenses	Name	N/A
	Other Distributed Transmission System Expenses Not listed	N/A
	Name	N/A
	Is Notification of a Medical Facility required as a result of DTV broadcasting?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	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

Other Expenses Not Listed

Name	Description
Annual Rent and Master UHF System Fess-John Hancock Tower	John Hancock lease has additional charges for 24-7 use as the Original lease covered only intermittent use as a backup since main facility is under construction.
Auxiliary Facility Usage Fees	American Tower Fee for utilization of auxiliary while main antenna is under construction
Other Tower and Rigging Cost	Structural Engineering Expenses
Call support	Call Support

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	$4,492,566.38	$4,211,586.38	N/A	$2,247,369.16	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Primary Transmitter THU9-20	$4,379,056.38	$4,122,086.38		$2,223,813.12
Transmitter Installation	$1,329,651.68	$1,329,651.68	Installation service from BRE 312 Holding and Electron Dynamics	$1,323,236.93	N/A
General Condition- permits-Bonds-Certifications, Insurance, Contractor fee, Overhead	$270,474.50	$270,474.50	N/A	$270,474.50	N/A
Willis Tower Building Improvements	$885,000.00	$885,000.00	see attached Willis Tower construction document which outlines build of space for transmitter including HVAC, plumbing for cooling system, electrical, and fire suppression	$0.00	N/A
Other -- Building Addition Size: 150.0	$40,000.00	$40,000.00	Cost internal to construction project, see estimate attached and total below.	$4,201.00	N/A
Other -- HVAC Service Type: C Size:20 (Other)	$500,000.00	$500,000.00	Cost internal to construction project, see estimate attached and total below.	$19,746.00	N/A
Other Electrical Service: See attached proposal	$406,930.20	$406,930.20	Cost internal to construction project. See estimate attached and total below.	$9,800.00	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$690,030.00	See attached proposal for a R&S THU9-20. THU9-20 Transmitter selected as it provides for one step of headroom above the required 25.5kW,	$596,354.69	N/A
Auxiliary Transmitter NV8000	$113,510.00	$89,500.00		$23,556.04
10 kW mask filter	$8,310.00	$39,500.00	INCREASE IN ESTIMATED COST.	$23,556.04	N/A
UHF and VHF - minor banding issues	$105,200.00	$50,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Transmitter Installation	Component Description: Expenses related to transmitter install HVAC, plumbing electrical Amount: $33,145.18 Component Description: Expenses related to transmitter install HVAC, plumbing, electrical Amount: $7,907.32 Component Description: Expenses related to transmitter install HVAC, plumbing, electrical Amount: $12,068.43 Component Description: Willis Tower Expenses. REVISED Amount: $12,746.23 Component Description: Expenses related to transmitter install HVAC, electrical, plumbing Amount: $18,780.72 Component Description: Willis Repack Expenses- August 2022 expenses Amount: $30,902.50 Component Description: 6" Spinner Switch and Accessories for WMAQ Main Transmitter Line Installation costs plus sales tax Amount: $36,948.46 Component Description: Willis tower expenses . REVISED Amount: $60,883.58 Component Description: Additional Transmitter Installation work for WMAQ station Amount: $280,922.25 Component Description: WMAQ - Electron Dynamics invoice for remaining 70% of transmitter install Amount: $79,485.00 Component Description: Willis Tower DTV Transmitter Replacement Amount: $18,849.00 Component Description: Double Stack Configuration shared with WMAQ and WFLD. REVISED Amount: $1,792.22 Component Description: TRANSMITTER ROOM DECOMMISSION Amount: $97,750.00 Component Description: Willis Tower DTV Transmitter Replacement through May 10, 2019 Amount: $1,570.75 Component Description: WMAQ- Willis tower Repack Engineering expenses attached with group invoices. Amount: $26,640.59 Component Description: Willis-Repack Expense from BRE 312 Owner LLC Amount: $18,571.01 Component Description: Willis tower work for the Repack station WMAQ. Credit memo adjusted/attached at the of the invoice. Amount: $86,445.74 Component Description: Willis- Repack Expenses Structural Design Services Amount: $23,237.18 Component Description: Willis Tower- Repack expenses Amount: $8,045.63 Component Description: Willis tower Installation expenses for WMAQ station Amount: $16,473.03 Component Description: Line 1 and 2. 8 pole liquids cooled, tunable CIF Mask Filter and 1/8"EIA - N socket Adaptor, plus proportional sales tax is requested under this section. REVISED Amount: $196,187.06 Component Description: Willis Tower DTV Transmitter Replacement through March 15, 2019 Amount: $4,712.25 Component Description: Willis Tower DTV Transmitter Replacement work through Feb 8, 2019 Amount: $6,283.00 Component Description: Willis- Repack Expenses for August 2022 Amount: $19,166.67 Component Description: WMAQ- Broadcast Repack - Willis Expenses. Amount: $58,296.45 Component Description: Willis tower expenses for WMAQ Amount: $2,387.00 Component Description: Broadcast Repack- Willis Tower Expense for WMAQ. Amount: $19,689.38 Component Description: HOSE NIPPLE DN50 2-NPT Amount: $1,260.40 Component Description: Transformers 6-50 / 6-75 for new transmitter install per repack Amount: $4,250.00 Component Description: R&S Transmitter Installation Supervision, Test and Commissioning Amount: $79,485.00 Component Description: please quote line item 1 & 10 for Demolition and plumbing work, tax excluded for reimbursement request Amount: $10,039.00 Component Description: Double Stack Configuration for WMAQ Structural engineering tower load study for well documented tower. REVISED Amount: $3,434.06 Component Description: Wrong category Amount: N/A Component Description: WILLIS-REPACK EXPENSE . Amount: $16,091.29 Component Description: Willis Tower Expenses Amount: $27,403.13 Component Description: Willis Tower expenses REVISED Amount: $40,518.63 Component Description: Additional Transmitter Installation work for WMAQ station. REVISED Amount: $280,922.25 Component Description: Project management services_ Willis Tower Expenses Amount: $13,748.95 Component Description: Credit memo requested for transmitter plumbing work that was reimbursed by mistake Amount: ($10,575.00) Component Description: Willis Repack Expenses- SE Pole removal, RFS Installation, Combiner room, Transmission line, Triple Stack removal, and PM cost Amount: $163,284.87 Component Description: Broadcast Repack, Willis Tower Expenses Amount: $5,000.00 Component Description: WILLS REPACK EXPENSES Amount: $39,874.93 Component Description: Willis Tower Expenses- Station WMAQ Amount: $19,689.38 Component Description: Double Stack Construction and Triple stack Deconstructions for WMAQ Amount: $11,832.89 Component Description: Installation cost for Double Stack construction invoices from BRE invoiced only for WMAQ proportionally. Amount: $48,329.95 Component Description: Willis tower work expenses REVISED Amount: $2,387.20 Component Description: Willis Tower Expenses Amount: $8,045.63 Component Description: Double Stack Configuration-expenses split into 2 stations. Amount: $1,824.86 Component Description: Only Demolition expenses are requested in category. please see line item 2 from the cover letter. Amount: $4,600.00 Component Description: Willis Tower Equipment and Rigging Cost - Structural Engineering for BRE 312. Amount: $3,514.48 Component Description: Willis Repack Expense - Broadcast Repack Amount: $11,832.89 Component Description: Sales tax invoice- Original invoice 614076 attached with the package. Amount: $435.63 Component Description: Capital Contribution- John Hancock _ East tower Amount: $105,034.00 Component Description: Double Stack Configuration Cost for WMAQ. Amount: $3,279.17 Component Description: CAPITAL CONTRIBUTION - JOHN HANCOCK - EAST TOWER, amount include Line 1,3,4,5, and 6. Amount: $105,034.00 Component Description: WMAQ - Electron Dynamics invoice for 30% of transmitter install Amount: $34,065.00 Component Description: Willis Repack Expenses Amount: $40,518.63 Component Description: Repack - Willis Tower expenses Amount: $337.50 Component Description: Please see quote attached. Plumbing work uploaded under Transmitter Installation in 399 form. REVISED Amount: $10,575.00
General Condition- permits-Bonds-Certifications, Insurance, Contractor fee, Overhead	Component Description: Expenses related to general conditions work Amount: $93,115.05 Component Description: Only General conditions and permit expenses are requesting here Amount: $16,897.65 Component Description: Transmitter Phase 2 New Installation - General Conditions and Permits Amount: $17,984.87 Component Description: The request for the payment for General Condition- permits Amount: $16,692.05 Component Description: General Condition- permits All the above costs were part of Transmitter removal, disposal and installation costs. Amount: $21,345.45 Component Description: These were required because WMAQ decided to move the transmitter from its existing location to a new room, and they were directly related to the transmitter installation calculation. REVISED Amount: $75,434.93 Component Description: NOT REIMBURSABLE Revised Amount: N/A Component Description: Requested for the cost of General conditions; Permits, Overhead, Contractor fees Amount: $38,738.96 Component Description: Only General Conditions expenses; Permits, Insurance, Overhead, Contractor fees are requested in this section. Please see line 1 Amount: $96,317.42 Component Description: Requested for the cost of General conditions; Permits, Overhead, Contractor fees. REVISED Amount: $38,738.96 Component Description: Line 1, General Conditions, Bonds/Permits/Certifications Insurance, Overhead, and Contractor Fee. REVISED Amount: $97,950.43 Component Description: please line item 1 form the attached package, Only General Conditions expenses are requesting here. Amount: $97,950.43 Component Description: WRONG CATEGORY Amount: N/A Component Description: General conditions, Insurance, Overhead cost, and contractor fees are requested in this line item. Amount: $29,004.50 Component Description: Only General conditions expenses are requesting here. Please see line 1. Amount: $65,509.26 Component Description: Please see line 1 from the attached cover letter; only General conditions expenses are requesting for the payment. Amount: $45,001.67 Component Description: NON-REIMBURSABLE Amount: N/A Component Description: Only items involved in General conditions, line 1, is requested for the payment. Amount: $100,916.93
Willis Tower Building Improvements	Component Description: Requesting full amount for plumbing expense. Transmitter was installed in a new room and the cost was needed during the construction processed. REVISED Amount: $15,125.00 Component Description: Please see line 8 & 9 for HVAC and Electrical work are requested in this section only. Amount: $120,684.30 Component Description: please see line items 7,8, and 9. Plumbing, HVAC, and Electrical work requested here. REVISED Amount: $336,001.75 Component Description: please see line items 7,8, and 9. Only Plumbing, HVAC, and Electrical work requested Amount: $336,001.75 Component Description: Please see line 7 thru 9 from the attached package, only include Plumbing, HVAC, and Electrical expenses Amount: $293,119.75 Component Description: WRONG CATEGORY Amount: N/A Component Description: Please see line 8 & 9 for HVAC and Electrical work are requested in this section only. Amount: $120,684.30 Component Description: Plumbing, HVAC, and Electrical work, Line 7 thru 9 include here for the payment. Sub contractors invoices are attached. REVISED Amount: $74,523.20 Component Description: please see lien items 5 thru 7 from the cover letter. Plumbing, HVAC, and Electrical cost are requested here for reimbursement. line 3&4 not reimbursable Amount: $21,821.00 Component Description: TBD Amount: $860,252.00 Component Description: HVAC not reimbursable. Revised Amount: N/A Component Description: please see line items 3, 5, 6, & 7 from the attached Cover letter /Sworn statement attached. Flooring and Fire Suppression are not reimbursable, line 2 and 4. Amount: $23,771.28 Component Description: Please see line 7 thru 9 from the attached package, only include Plumbing, HVAC, and Electrical expenses are requested here. Subcontractors invoices are attached. REVISED Amount: $293,119.75 Component Description: Plumbing, HVAC, and Electrical work, Line 7 thru 9 include here for the payment. Amount: $74,523.20
Other -- Building Addition Size: 150.0	Component Description: AIR DRYER 115/1/50-60 Amount: $4,201.00 Component Description: The request for the payment for Hardware, painting & Coating. please see attached statement. Amount: $4,119.71 Component Description: AIR DRYER 115/1/50-60 REVISED Amount: $4,201.00 Component Description: Cost include concrete, Doors/Hardware/Flooring, painting & coating Amount: $11,800.00 Component Description: The request for the payment for hardware and coating. Please see attach statement. Revised Amount: $4,119.71
Other -- HVAC Service Type: C Size:20 (Other)	Component Description: only line item 12 from quote, HVAC expense are requested for the payment here Amount: $7,746.00 Component Description: Not reimbursable. Revised Amount: N/A Component Description: HVAC installation work Amount: $12,000.00 Component Description: NOT REIMBURSABLE REVISED Amount: N/A Component Description: HVAC installation work not reimbursable. Revised Amount: N/A
Other Electrical Service: See attached proposal	Component Description: please see line 13 form the quote Amount: $9,800.00 Component Description: NOT REIMBURSABLE. REVISED Amount: N/A Component Description: Not reimbursable Revised Amount: N/A Component Description: Not reimbursable. Revised Amount: N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: Main transmitter Amount: $596,354.69
10 kW mask filter	Component Description: Line 4, WRC Aux TX Load Kit, plus proportional sales tax is requested under this section. REVISED Amount: $4,418.70 Component Description: Connection kit liquid cooling for external filter Amount: $3,203.44 Component Description: Switch Frame to mask filter and load interconnect kit costs plus taxes. Revised Amount: $15,655.37 Component Description: CONNECTOR ADAPTER PLUS FREIGHTCHRAGES. Amount: $278.53
UHF and VHF - minor banding issues	Information not provided.

Cost Information

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$577,730.00	$585,096.00	N/A	$337,169.96	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Primary Antenna TFU-12GBH/VP-R O6	$493,530.00	$500,896.00		$289,434.14
Willis Tower East	$185,000.00	$185,000.00	See attached Willis Tower Engineering Statement	$0.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$245,396.00	Vertical Component of cost is 17,550 and has been subtracted form total requested	$229,917.40	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$60,000.00	included in antenna cost	$49,016.74	N/A
Sweep test of existing antenna	$6,730.00	$10,500.00	Estimated costs is greater than predetermine cost	$10,500.00	N/A
Auxiliary Antenna TUF-C4-12/48U-2B	$84,200.00	$84,200.00		$47,735.82
Adding a module to existing combiner (without antenna)	$84,200.00	$84,200.00	N/A	$47,735.82	N/A

Components

Actual Information Description	File Name
Willis Tower East	Component Description: TBD Amount: $464,166.67
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: ANTENNA - UHF HIGH POWER TOP MOUNT. BOTTOM OF STACK, ONE STATION WITH ELLIPTICAL POLARIZATION Amount: $104,296.50 Component Description: Wrong category Amount: N/A Component Description: IL Sales Tax- Invoice 479019 Amount: $2,890.50 Component Description: On the CP the model specified was TFU-12GBH-R-O6SP. It's confirm. SP added on the end. ANTENNA UHF HIGH POWER TOP MOUNT. A quote for the upgraded equipment and analysis are attached. REVISED Amount: $104,296.50 Component Description: On the CP the model specified was TFU-12GBH-R-O6SP. CONFIRM. Balance of payment on invoice for antenna UHF High Power Top Mount. A quote for the upgraded equipment and analysis sheet are attached. REVISED Amount: $21,324.40 Component Description: Line 1, ANTENNA - UHF HIGH POWER TOP MOUNT is included in this area. Amount: $104,296.50 Component Description: Line 1, ANTENNA - UHF HIGH POWER TOP MOUNT. A quote for the upgraded equipment and analysis attached. On the CP the model specified was TFU-12GBH-R-O6SP. Note the SP added on the end. ONFIRMED REVERSED Amount: $104,296.50 Component Description: IL Sales Tax- Invoice 479019. REVISED Amount: $2,890.50 Component Description: ANTENNA - UHF HIGH POWER TOP MOUNT Amount: $21,324.40 Component Description: TBD Amount: $245,396.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: ELBOW 1-50 EQUAL LEG 3 X 3 CU "QS". Wrong Category - This invoice is for WDMR Amount: N/A Component Description: IL Sales Tax - Invoice 600036. REVISED Amount: $283.31 Component Description: IL Sales Tax - Invoice 600036 Amount: $283.31 Component Description: ELBOW 3-50 EIA 6.00 X 6.00 CU REIN Amount: $1,521.00 Component Description: IL Sales Tax- Invoice 516005 Amount: $3,027.34 Component Description: OTHER ELBOW COMPLEX KIT, SINGLE CHANNEL Amount: $4,634.10 Component Description: On the CP the model specified was TFU-12GBH-R-O6SP. It's confirm. SP added on the end. Line 3, Elbow Complex Kit, single channel. Please see revised quote and analysis attachment. REVISED Amount: $4,634.10 Component Description: Line 3, Other Elbow Complex Kit, single channel included in this area. TFU-12GBH-R-O6SP. Note the SP added on the end. CONFIRMED REVISED Amount: $4,634.10 Component Description: IL Sales Tax - Invoice 620007. REVISED Amount: $217.81 Component Description: COPPER BUS BAR, 44SPX1 Amount: $1,667.38 Component Description: 1-5/8" 90 degree u/f m-m elbow - tunable (Al outer) Amount: $128.70 Component Description: XFMR 6-50 / 6-75 UHF 3 ST REVISED Amount: $2,125.00 Component Description: REDUCER 6-50 X 3-50 W/CONN "QS and T/L TUNER INDOOR USE 3-50 14-37, Amount: $2,764.00 Component Description: Elbow complex and T/L accessories Amount: $29,535.00 Component Description: Line 3, Other Elbow Complex Kit, single channel included in this area Amount: $4,634.10
Sweep test of existing antenna	Component Description: Sweep test of Transmission line and antenna Amount: $5,000.00 Component Description: SWEEP OF EXISTING 6-75 TRANSMISSION LINE TO EVALUATE REPACK FROM CH 29 TO 33, AND CONDITION OF CONNECTORS AT THE SECTION JOINTS. PRICE IS FOR ONE DAY ON SITE. ADDITIONAL DAYS REQUIRED FOR TO BE BILLED AT $2,200 PER DAY PLUS (EXPENSES X 1.15). REVISED Amount: $5,500.00 Component Description: Sweep test of Transmission line and antenna Amount: $5,000.00
Adding a module to existing combiner (without antenna)	Component Description: WMAQ -Adding module to the combiner. -Please see excluded Air Freight in cover letter Amount: $47,735.82

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	$34,000.00	$34,000.00	N/A	$32,580.11	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Primary Transmission Line	$34,000.00	$34,000.00		$32,580.11
RF Transmission Line layout	$14,000.00	$14,000.00	N/A	$13,561.25	N/A
Adapters and Transitions	$20,000.00	$20,000.00	see attached antenna proposal	$19,018.86	N/A

Components

Actual Information Description	File Name
RF Transmission Line layout	Component Description: Rigid Transmission Line Copper cost. REVISED Amount: $701.25 Component Description: RF Transmission line layout services for WMAQ Amount: $12,860.00
Adapters and Transitions	Component Description: Bolt/Anco nut. please see attached quote Amount: $1,215.00 Component Description: Line 4 and 5, TL 6-75 EIA LENGTH 15 inches TO 20 inches FIXED and TEST TRANSITION 6-75. Please see analysis and Updated Quote for upgraded equipment QUOTE attached. REVISED Amount: $2,500.20 Component Description: IL Sales Tax - Invoice 592004 Amount: $1,093.16 Component Description: IL Sales Tax - Invoice 615015 Amount: $135.30 Component Description: Line 3, T/L 6-75 EIA LENGTH TO FIXED FLG 1 END SWIVEL FLG 1 END included in this area. Amount: $1,547.10 Component Description: TRANS TEST 4-50 Amount: $10,665.00 Component Description: TEST TRANSITION 6-75 Amount: $953.10 Component Description: Line 4 and 5, Adapters and Transitions. Revised Amount: $2,500.20 Component Description: TEST TRANSITION 6-75. REVISED Amount: $953.10 Component Description: Line 4 and 5, TL 6-75 EIA LENGTH 15 inches TO 20 inches FIXED and TEST TRANSITION 6-75 Amount: $2,500.20 Component Description: IL STATE SALES TAX ON INVOICE 592004 Amount: $1,093.16 Component Description: 6-75 CUT LENGTH TBD, TO 5 FEET Amount: $910.00

Actual Information Description

File Name

RF Transmission Line layout

Component Description:: Rigid Transmission Line Copper cost. REVISED
Amount:: $701.25

Component Description:: RF Transmission line layout services for WMAQ
Amount:: $12,860.00

Adapters and Transitions

Component Description:: Bolt/Anco nut. please see attached quote
Amount:: $1,215.00

Component Description:: Line 4 and 5, TL 6-75 EIA LENGTH 15 inches TO 20 inches FIXED and TEST TRANSITION 6-75. Please see analysis and Updated Quote for upgraded equipment QUOTE attached. REVISED
Amount:: $2,500.20

Component Description:: IL Sales Tax - Invoice 592004
Amount:: $1,093.16

Component Description:: IL Sales Tax - Invoice 615015
Amount:: $135.30

Component Description:: Line 3, T/L 6-75 EIA LENGTH TO FIXED FLG 1 END SWIVEL FLG 1 END included in this area.
Amount:: $1,547.10

Component Description:: TRANS TEST 4-50
Amount:: $10,665.00

Component Description:: TEST TRANSITION 6-75
Amount:: $953.10

Component Description:: Line 4 and 5, Adapters and Transitions. Revised
Amount:: $2,500.20

Component Description:: TEST TRANSITION 6-75. REVISED
Amount:: $953.10

Component Description:: Line 4 and 5, TL 6-75 EIA LENGTH 15 inches TO 20 inches FIXED and TEST TRANSITION 6-75
Amount:: $2,500.20

Component Description:: IL STATE SALES TAX ON INVOICE 592004
Amount:: $1,093.16

Component Description:: 6-75 CUT LENGTH TBD, TO 5 FEET
Amount:: $910.00

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	$706,280.00	$4,329,948.57	N/A	$4,056,359.07	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Primary Tower BTWR	$706,280.00	$4,329,948.57		$4,056,359.07
Structural engineering tower load study for well documented tower	$12,600.00	$32,000.00	actual cost exceed predetermined cost	$31,090.50	N/A
Minor tower reinforcement/modifications	$158,000.00	$158,000.00	N/A	$0.00	N/A
Tower Helicopter Lift	$114,680.00	$114,680.00	N/A	$0.00	N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$4,025,268.57	Estimate cost exceeded	$4,025,268.57	Excess cost

Components

Actual Information Description	File Name
Structural engineering tower load study for well documented tower	Component Description: Structural Design expenses Amount: $28,200.00 Component Description: Sales tax invoice for the original invoice 479019R Amount: $2,890.50
Minor tower reinforcement/modifications	Information not provided.
Tower Helicopter Lift	Component Description: Willis Repack tower mods. Contingency helicopter lifts Amount: $114,680.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: Willis Tower Repack Work inclusive of tower mods, triple double stack, helicopter lifts, etc Amount: $3,526,570.24 Component Description: Willis Repack Tower Work Amount: $18,016.62 Component Description: Tower work and structural design work. Amount: $45,143.10 Component Description: BOL T and NUT A325. NEW BOLTS ADDED BECAUSE THE TOP PLATE THICKNESS CHANGED BY BUILDING STRUCTURAL CONSUL TANT FROM 3" TO 2.5" & BOLTS ORIGINALLY PROVIDED WOULD BE TO LONG. Amount: $1,215.00 Component Description: WILLIS Tower REPACK EXPENSES. Amount: $435,538.61

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	$349,555.00	$999,228.73	N/A	$880,120.17	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Outside Professional Services	$349,555.00	$999,228.73		$880,120.17
Internal Reimbursement	$15,000.00	$15,000.00	N/A	$4,084.84	N/A
Additional Field Engineering Service, 40 Days	$40,000.00	$40,000.00	N/A	N/A	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	$5,791.50	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$40,000.00	N/A	$0.00	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,500.00	N/A	$0.00	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$4,000.00	N/A	$0.00	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$865.72	N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	$4,210.00	$4,000.00	N/A	$2,499.55	N/A
Project management of the transition	$164,320.00	$852,461.93	Project Management costs have exceeded the pre-determined costs	$852,461.93	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$1,789.20	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$9,516.80	Estimated cost is greater than predetermined cost estimate	$9,516.80	N/A
Prepare and or review reimbursement form	$2,630.00	$3,500.00	Estimate cost is greater that predetermined cost estimate	$3,110.63	N/A

Components

Actual Information Description	File Name
Internal Reimbursement	Component Description: NBC - Invoice for Doug Lung time worked on Repack Amount: $4,084.84
Additional Field Engineering Service, 40 Days	Information not provided.
RF Exposure Measurements	Component Description: RF Survey and safety report Amount: $5,791.50
Comprehensive coverage verification via field study, if needed	Component Description: FIELD SERVICE. SWEEP OF EXISTING 6-75 TRANSMISSION LINE TO EVALUATE REPACK FROM CH 29 TO 33, AND CONDITION OF CONNECTORS AT THE SECTION JOINTS. Amount: $5,500.00 Component Description: wrong category Amount: N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
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: Patty Chuh- Outside professional legal fees for the Repack Station Amount: $758.62 Component Description: Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Amount: $107.10
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	Component Description: Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application. REVISED Amount: $620.00 Component Description: Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Amount: $585.00 Component Description: Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Amount: $1,170.00 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $736.95 Component Description: Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application. REVISED Amount: $180.00 Component Description: Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Amount: $180.00 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $35.70 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $142.80 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $379.10
Project management of the transition	Component Description: Project Management Services - April 1-15, 2023 Amount: $17,240.00 Component Description: Project Management Services - March 2023 Amount: $39,336.00 Component Description: WMAQ-Chicago-Repack Finance Resource- Project Management Services- 47905 Amount: $27,473.00 Component Description: Recurring project planning and status update meetings Amount: $9,552.00 Component Description: WMAQ-Chicago-Repack Finance Resource-Project Management Services- 47905 REVISED Amount: $20,576.00 Component Description: Project Management Services - January 2023 Amount: $58,326.00 Component Description: WMAQ - Point B Project Management November 2019 Amount: $8,217.84 Component Description: Cleaning of invoice data for repack reimbursement. Recurring project planning and status update meetings. Amount: $3,220.00 Component Description: Point B Project Management Fees for WMAQ Amount: $8,217.84 Component Description: Transition of Repack Project Management role Recurring project planning and status update meetings Amount: $11,082.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $13,093.48 Component Description: Project Management Amount: $11,522.40 Component Description: Project Management Services Amount: $1,072.50 Component Description: WMAQ - Point B invoice March 2020 Amount: $158.00 Component Description: Recurring project planning and status update meetings Amount: $13,598.00 Component Description: Recurring project planning and status update meetings Amount: $10,334.00 Component Description: WMAQ-Project Management Services- 47905 Amount: $11,082.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $2,316.10 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905. 07/01/2022 - 07/31/2022 Amount: $26,580.00 Component Description: Recurring project planning and status update meetings Amount: $5,789.00 Component Description: WMAQ - Point B invoice July 2020 Amount: $12,964.00 Component Description: Project Management Invoice Amount: $11,344.24 Component Description: Revise rejections and prepare new sets of invoices with quote for resubmission. Add cover letter for each variance of invoice amount and requested amount. Reconcile Repack Rec. file. Amount: $5,404.00 Component Description: Project management cost for the Call sign WMAQ-TV, Fac ID: 47905 Amount: $65.29 Component Description: Updated November 2018 Project Management so line items are for correct amount. Also updated total invoice amount and reimbursement amount to match invoice correctly. Amount: $4,864.63 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services -47905 Amount: $12,615.00 Component Description: 15-WMAQ-Chicago-Engagement Leader-Project Management Services. REVISED Amount: $348.95 Component Description: Project Management Services for WMAQ Amount: $348.95 Component Description: Project management and expenses, see attachments for expense receipts Amount: $4,016.90 Component Description: WMAQ - Point B invoice August 2020 Amount: $12,202.00 Component Description: N/A Amount: N/A Component Description: Recurring project planning and status update meetings Amount: $7,082.00 Component Description: Project Management Services Amount: $1,365.00 Component Description: WMAQ - Point B invoice May 2020 Amount: $6,180.00 Component Description: WMAQ-Chicago-Repack Finance Resource-Project Management Services- 47905. Please see attached cover letter detailing while the expenses are similar. REVISED Amount: $29,568.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $13,417.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $25,418.00 Component Description: Documentation gathering, per Repack requirements, Recurring meetings with engineers and vendors on tower work progress Amount: $17,432.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $8,470.00 Component Description: 15-WMAQ-Chicago-Engagement Leader-Project Management Services-Vendor Management, recurring project planning, status update meetings. REVISED Amount: $348.95 Component Description: Recurring project planning and status update meetings Amount: $5,588.00 Component Description: Project Management Services for WMAQ Stations Amount: $5,789.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $8,217.84 Component Description: Project Management Services - February 2023 Amount: $35,860.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $8,624.00 Component Description: Project Management Services Amount: $975.00 Component Description: Point B Project Management fees for WMAQ Amount: $11,881.26 Component Description: WMAQ - Point B Project Management January 2020 Amount: $2,316.00 Component Description: Point B Project Management Fees for WMAQ Amount: $22,545.00 Component Description: Project Management services for WMAQ Amount: $2,316.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $22,545.00 Component Description: Point B project management services for the month of February 2019. See line item. Amount: $9,047.52 Component Description: WMAQ-Chicago-Repack Finance Resource- Project Management Services- 47905 Amount: $27,758.00 Component Description: WMAQ - Point B Project Management December 2019 Amount: $395.00 Component Description: WMAQ - Point B invoice April 2020 Amount: $6,712.00 Component Description: October 2018 Project Management Amount: $1,015.00 Component Description: Project Management Amount: $11,396.00 Component Description: Recurring project planning and status update meetings Amount: $7,674.00 Component Description: Wrong category Amount: N/A Component Description: WMAQ - Point B Project Management September 2019 Amount: $22,545.00 Component Description: Invoice submittals to FCC for repack reimbursement. Cleanup of PO's, Invoices and AR data related to repack reimbursement - Review and close-out of legally required documentation Amount: $10,987.00 Component Description: Outside Project management service cost Amount: $154.90 Component Description: WMAQ-Chicago-Repack Finance Resource-Project Management Services- 47905. 08/01/2022 - 08/31/2022 Amount: $30,502.00 Component Description: Cleaning of invoice data for repack reimbursement. Submitting invoices to FCC for repack reimbursement Amount: $5,885.00 Component Description: Project Management Services Amount: $2,145.00 Component Description: Project Management Services November 1-30, 2022 Amount: $28,348.00 Component Description: WMAQ-Chicago-Repack Finance Resource-Project Management Services. 09/01/2022 - 09/30/2022 Amount: $38,504.00 Component Description: WMAQ - Point B Project Management July 2019 Amount: $9,476.29 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905 Amount: $10,580.00 Component Description: Project management services for Feb2022 from PointB Professionals Amount: $20,576.00 Component Description: Point B Project Management January 2019 Amount: $13,856.60 Component Description: Only 154.90 is requested for "Outside Project Management Services" Amount: $154.90 Component Description: Please see cover letter. PM cost split between 6 stations. Amount: $10.88 Component Description: Point B Project Management Fees for WMAQ Amount: $13,182.02 Component Description: WMAQ - Point B Project Management October 2019 Amount: $29,004.77 Component Description: Project Management time incurred for WMAQ Cutover. T&E expenses not included. Amount: $10,934.00 Component Description: WMAQ - Point B invoice June 2020 Amount: $6,396.00 Component Description: Project management services for WMAQ Amount: $10,580.00 Component Description: WMAQ-Chicago-Engagement Leader-Project Management Services- 47905. REVISED Amount: $22,545.00 Component Description: Project Management Services Amount: $348.95 Component Description: Completing repack close-out items and consolidating post modification documentation Amount: $4,951.00 Component Description: WMAQ - Point B Project Management August 2019 Amount: $13,182.00 Component Description: Project Management Services October 1-31, 2022 Amount: $28,090.00 Component Description: Project Management Services for WMAQ Stations Amount: $9,552.00 Component Description: Recurring project planning and status update meetings Amount: $13,417.00 Component Description: Recurring project planning and status update meetings Amount: $7,168.00 Component Description: Project Management Services - December 1-31, 2022 Amount: $45,642.00 Component Description: Point B Project Management Fees for WMAQ Amount: $9,476.29
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $357.00 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $107.10 Component Description: Preparation of minor change application Amount: $226.80 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $71.40 Component Description: See line 1 of invoice, less 10% vendor discount. Amount: $491.40 Component Description: Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Amount: $535.50
Address transition timing and coordination issues w/ other stations and wireless	Component Description: Legal services in support of WMAQ Repack Amount: $701.94 Component Description: Legal services to support WMAQ Repack Amount: $809.93 Component Description: Patty Chuh- Outside professional legal fees for the Repack Station Amount: $490.85 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $867.00 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $178.50 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $285.60 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $999.60 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $91.80 Component Description: Legal charges for Transition progress report, and review submittals application for reimbursement Amount: $312.36 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $1,800.00 Component Description: Patty Chuh- Outside professional legal fees for the Repack Station Amount: $44.62 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $142.80 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $392.70 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $1,935.00 Component Description: Address transition timing and coordination issues w/ other stations and wireless Amount: $464.10
Prepare and or review reimbursement form	Component Description: Prepare and or review reimbursement form Amount: $45.00 Component Description: WMAQ-LEGAL SERVICES RENDERED Amount: $226.80 Component Description: Prepare and or review reimbursement form Amount: $43.65 Component Description: Patty Chuh- Outside professional legal fees for the Repack Station Amount: $446.24 Component Description: Prepare and or review reimbursement form Amount: $142.80 Component Description: Review 399 reimbursement request for WMAQ. REVISED Amount: $43.65 Component Description: Prepare and or review reimbursement form Amount: $43.65 Component Description: Prepare and or review reimbursement form Amount: $43.65 Component Description: Review 399 reimbursements request for WMAQ. REVISED Amount: $43.65 Component Description: Prepare and or review reimbursement form. Revise Amount: $43.65 Component Description: Review of 399 Amount: $43.65 Component Description: Prepare and or review reimbursement form Amount: $43.65 Component Description: Review Form 399 reimbursement request for WMAQ. REVISED Amount: $43.65 Component Description: Prepare and or review reimbursement form Amount: $142.80 Component Description: Review amendments to form 399 cost estimates Amount: $529.20 Component Description: Prepare and or review reimbursement form Amount: $1,560.60 Component Description: Prepare and or review reimbursement form Amount: $43.65 Component Description: See line 2 of invoice, less 10% vendor discount. Amount: $69.39

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	$1,191,205.15	$1,184,890.15	N/A	$1,068,906.14	N/A
Total for all systems	$7,351,336.53	$11,344,749.83	N/A	$8,622,504.61	N/A
Other Expenses	$1,191,205.15	$1,184,890.15		$1,068,906.14
Call support	$26,000.00	$26,000.00	N/A	$25,648.95	Sub total is greater than estimated cost
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	N/A	N/A
AM Pattern Disturbance -- Impact study	$7,890.00	$7,890.00	N/A	N/A	N/A
Other Tower and Rigging Cost	$7,000.00	$7,000.00	Other Tower and Rigging cost estimated	$3,514.48	N/A
Auxiliary Facility Usage Fees	$45,000.00	$45,000.00	See attached extract from our lease with American Tower. If our auxiliary facility is utilized for more then 24 hours in a month we must pay $25,000. Due to the extent of work at Willis Tower we expect to use our auxiliary for at least 3 months.	$0.00	N/A
Annual Rent and Master UHF System Fess-John Hancock Tower	$772,246.08	$772,246.08	John Hancock lease payment- additional expenses as backup since Original facility was under construction	$772,246.08	Same
MVPD Notification of Channel Change	$12,000.00	$12,000.00	N/A	N/A	N/A
Develop and air announcement of upcoming channel change	$1,500.00	$1,500.00	N/A	N/A	N/A
Equipment Storage	$61,989.07	$61,989.07	N/A	$61,989.07	N/A
Equipment Delivery and Handling Charges	$20,000.00	$20,000.00	Delivery of equipment to transmitter area in Willis Tower	$10,007.56	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$195,500.00	$195,500.00	See attached construction cost document (page 4) for demolition costs which are not included in the build.	$195,500.00	N/A
Non-zoning permits	$20,000.00	$20,000.00	N/A	$0.00	N/A
Local Zoning	$10,000.00	$10,000.00	N/A	N/A	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Call support	Component Description: Live Answering Deposit for October Temp Workers. REVISED Amount: $12,000.00 Component Description: Live Answering Deposit for October Temp Workers REVISED Amount: $12,000.00 Component Description: Live Answering 1000 Minutes 01 OCT 2019 -31 OCT 2019 818-385-2504 REVISED Amount: $998.95 Component Description: Live Answering Temp Employee Fee. Revised Amount: $12,650.00 Component Description: Live Answering Services REVISED Amount: $998.95 Component Description: Live Answering Temp Employee Fee REVISED Amount: $12,650.00
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
DTV Medical Facility Notification	Information not provided.
AM Pattern Disturbance -- Impact study	Information not provided.
Other Tower and Rigging Cost	Component Description: Other tower and rigging costs are included here. REVISED Amount: $3,434.07 Component Description: Please see Cover letter for Variance, Non-Reimbursable item. Amount: $3,514.48 Component Description: Structural Engineering tower load study for well documented tower. Amount: $3,279.17
Auxiliary Facility Usage Fees	Information not provided.
Annual Rent and Master UHF System Fess-John Hancock Tower	Component Description: John Hancock Annual net Base Rent and Annual Master UHF System Amount: $20,764.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $18,448.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $18,448.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,571.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $18,448.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $18,448.00 Component Description: Annual net base rent and annual master UHF system fees. Amount: $20,764.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 and supplement document for the invoice Amount: $20,159.00 Component Description: Please see Exhibit C 1. The Annual net Base Rent and Annual Master UHF System fees increased each successive November 1 by 3 percent line 1. Amount: $20,159.00 Component Description: Please see Exhibit C -1. The Annual net Base Rent and Annual Master UHF System fees increased each successive November 1 by 3 percent line 1. REVISED Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,571.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $20,159.00 Component Description: Please see Exhibit C -1. The Annual net Base Rent and Annual Master UHF System fees increased each successive November 1 by 3 percent (line 1). Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $18,448.00 Component Description: Rent, Incremental expenses are reimbursable. please see Exhibit C-1 in this package Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 and supplement document for the invoice Amount: $109,793.08 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $18,448.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 and supplement document for the invoice Amount: $20,159.00 Component Description: Please see Exhibit C -1. The Annual net Base Rent and Annual Master UHF System fees increased each successive November 1 by 3 percent (line 1). Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,571.00 Component Description: Annual net base rent and annual master UHF system fees Amount: $20,764.00 Component Description: Please see Exhibit C -1. The Annual net Base Rent and Annual Master UHF System fees increased each successive November 1 by 3 percent (line 1). Amount: $20,159.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00 Component Description: Incremental expenses are reimbursable. please see Exhibit C-1 in this package. Amount: $19,001.00
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Consolidation and 4 Months Storage of WMAQ Main Transmitter and Third Party Equipment Amount: $21,489.07 Component Description: Flatbed Trailer Storage for 135 weeks Amount: $40,500.00
Equipment Delivery and Handling Charges	Component Description: Delivery charge- Air Freight Amount: $2,283.52 Component Description: Delivery charge- Air Freight REVISED Amount: $1,978.03 Component Description: Delivery charges Amount: $1,985.47 Component Description: Delivery charges for WMAQ station REVISED Amount: $5,386.36 Component Description: Shipping charges Amount: $317.28 Component Description: Shipping and delivery charges Amount: $416.15 Component Description: Shipping charges REVISED Amount: $233.50 Component Description: Delivery charges for WMAQ station. REVISED Amount: $288.00 Component Description: Delivery charges for WMAQ station Amount: $5,406.36 Component Description: Shipping costs. REVISED Amount: $136.20 Component Description: Delivery charges for WMAQ station Amount: $288.00 Component Description: Shipping and handling charges REVISED Amount: $163.00
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Disposal and removal of equipment. Revised Amount: $97,750.00 Component Description: Demo associated with transmitter Amount: $97,750.00
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$7,351,336.53	$11,344,749.83	$8,622,504.61

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.	No
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.	Angela Ball Assistant Secretary 04/26/2023

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.

Angela Ball

Assistant Secretary

04/26/2023

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.	Angela Ball Assistant Secretary 04/26/2023

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.

Angela Ball

Assistant Secretary

04/26/2023

(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

Auxiliary Transmitter

Existing Transmitter Information

Auxiliary Transmitter

Retuning Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Auxiliary Antenna

Existing Antenna Information

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Auxiliary Antenna

Adjustment to Existing Antenna

Auxiliary Antenna

Other Antenna Costs

Enter a list of RF channel numbers.

Auxiliary Antenna

Other Antenna Cost Not Listed

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing 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

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