| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
CHICAGO 22, LLC Doing Business As: CHICAGO 22, LLC |
Ravi Kapur 2118 WALSH AVE. SUITE 208 SANTA CLARA, CA 95050 United States |
+1 (415) 886-7284 | FCC@CHICAGO22.COM | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
Tony Zummallen QCommunications, LLC |
Tony zumMallen 705B SE Melody Lane STE B LEES SUMMIT, MO 64063 United States |
+1 (816) 882-5600 | Tony@qcomm.tv |
| Question | Response |
|---|---|
| Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | Yes |
| Briefly describe transition plan | Replace the transmitter, line and antenna per the channel reassignment with reasonable and customary engineering and business practices. Tenant on Willis Tower, Chicago. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | unknown | |
| Year | 2013 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 600 W |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | VAXTE-1R37 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 800 W | |
| Justification for New Transmitter | New transmitter required for new channel. |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | Yes | |
| Description | Willis tower electrical service required | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Name | Description |
|---|---|
Interim Transmitter -Decommissioning |
Harvesting and removal of old transmitter |
Final Transmitter - Site prep |
Preparation of site for final config transmitter |
Final Transmitter |
Transmitter required for final configuration |
Final Transmitter Shipping fees |
Transmitter shipping fees required for final configuration |
Final Transmitter Taxes |
Transmitter sales taxes required for final configuration |
Interim Site Prep |
Preparation of site for interim transmitter |
Final Transmitter Installation |
Transmitter installation costs required for final configuration |
Interim Transmitter Taxes |
Sales tax for interim transmitter |
Interim Transmitter Shipping fee |
Shipping fees for interim transmitter |
Final Transmitter - Decommission |
Decommissioning of STA transmitter in preparation for final config transmitter |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Antenna Description | Type of change | Purchase New |
| Antenna Use | Primary (Main) | |
| Ownership | Owned | |
| 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 | ||
| Mounting | Side Mount | |
| Antenna position in stack | Middle | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 1.4 kW | |
| Manufacturer | ||
| Model | 4DR-16-2HW | |
| Year | 2013 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| 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 | ||
| Mounting | Side Mount | |
| Antenna position in stack | Middle | |
| Polarization | Elliptical | |
| Type | Slotted Coaxial | |
| ERP: | 0.4 kW | |
| Manufacturer | ||
| Model | JUED-4-3(12)-4(16) | |
| Year | 2019 | |
| Justification for New Antenna | New antenna required for new channel. |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | Single Channel | |
| Feed Line Size | 1 5/8 inches inches | |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | Yes |
| Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
| Name | Description |
|---|---|
Final Antenna Sales Tax |
Sales tax for final antenna |
Interim Antenna Sales Tax |
Sales tax for interim antenna |
Interim Antenna Shipping fee |
Shipping fees for interim antenna |
Final Antenna costs |
Costs of final antenna |
Final Antenna Shipping fee |
Shipping fees for final antenna |
Mount Design |
Design of antenna mount to support proposed antenna to be placed upon the West Bridge of Willis Tower broadcast facilities. |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmission Line Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Is the existing transmission line shared with another station or stations? | No | |
| Is Transmission Line in operating condition? | Yes | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | |
| Type | Flexible Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 200 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 400 feet per run | |
| Justification for New Transmission Line | New transmission line required for new channel. | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | Yes |
| Name | Description |
|---|---|
Final Transmission line taxes |
Sales tax for final transmission line |
Interim Transmission line shipping |
Shipping for interim transmission line |
Interim Transmission line taxes |
Sales tax for interim transmission line |
Final transmission line |
Costs for final line |
Final Transmission line shipping |
Shipping for final transmission line |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Modify Existing |
| Tower Use | Primary (Main) | |
| 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? | Yes | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1032960 | |
| Coordinates (NAD83) | Latitude (NAD83) | 41° 52' 44.0" N- |
| Longitude (NAD83) | 087° 38' 08.0" W- | |
| Overall Structure Height | 1722.09 feet | |
| Support Structure Height | 1435.35 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 595.14 feet | |
| Structure Type | BMAST - Building with Mast | |
| Tower Owner | BRE 312 Broadcast, LLC | |
| Date Constructed | 09/30/2012 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 9613 | WBBM-FM | FM |
| 71283 | WCFS-FM | FM |
| 74178 | WKSC-FM | FM |
| 168662 | WMEU-CD | DTV |
| 9617 | WBBM-TV | DTV |
| 140658 | W236CF | FX |
| 48772 | WPWR-TV | DTV |
| 10802 | WTTW | DTV |
| 22211 | WFLD | DTV |
| 70119 | WSNS-TV | DTV |
| 10801 | WFMT | FM |
| 73226 | WLS-TV | DTV |
| 66978 | WEDE-CD | DTV |
| 6377 | WTMX | FM |
| 71428 | WCIU-TV | DTV |
| 70042 | WLIT-FM | FM |
| 72115 | WGN-TV | DTV |
| 51165 | WGCI-FM | FM |
| 28621 | WBMX | FM |
| 71425 | WWME-CD | DTV |
| 73228 | WLS-FM | FM |
| 32334 | WJYS | DTV |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | No study needed |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | No reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | Located on Building |
| Helicopter Services Required | Are helicopter services required? | No |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 500 | |
| Explanation | Required to assist in the turnkey management of the channel relocation project in order that the existing internal personal can maintain and operate the stations daily operational requirements and plans. Willis Tower adds complexity to project. | |
| Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
| Prepare engineering section of Form FCC Construction Permit Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | Yes | |
| Quantity | 2 | |
| Prepare Form 601 | Yes | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | Yes | |
| Quantity | 2 | |
| Negotiation of Lease and other Matter for Shared Locations | Yes | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Form 399 assistance or other program management costs | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | No | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 50 | |
| Justification | Field engineering costs expected for transition on Willis Tower. |
| Name | Description |
|---|---|
Engineering - General services |
General outside engineering services related to Willis Tower |
Attorney - General services |
General legal fees related to Willis Tower |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Permit and Filing Costs | FCC Construction Permit Major Change | Yes |
| FCC Construction Permit Minor Change | Yes | |
| 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 | |
| Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
| Frequency Coordination for Bi-Direction System | No | |
| New Point to Point Microwave System | No |
| Name | Description |
|---|---|
Building Permits for CP |
building, electrical, and zoning permits |
Willis Tower Connection Fees |
Connection fees for Willis Tower |
Internet Installation |
Internet installation at new location |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $328,959.27 | $334,535.13 | N/A | $52,535.13 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Primary Transmitter VAXTE-1R37 | $328,959.27 | $334,535.13 | $52,535.13 | ||
| Final Transmitter Shipping fees | $3,117.89 | $3,117.89 | Estimated costs. Actual costs to be determined. | $3,117.89 | N/A |
| Final Transmitter Installation | $100,000.00 | $100,000.00 | Estimated costs for installation. Actual costs to be determined. | $0.00 | N/A |
| Final Transmitter | $79,000.00 | $79,000.00 | Estimate of final transmitter costs. Actual costs to be determined. | N/A | N/A |
| Final Transmitter - Site prep | $20,000.00 | $20,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Interim Transmitter -Decommissioning | $25,000.00 | $25,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Transmitter Building Site Survey/Installation | $10,000.00 | $10,108.53 | Estimated costs for site survey and transmitter installation. Revised upon Site Survey. | $10,108.53 | N/A |
| Other Electrical Service: Willis tower electrical service required | $1,536.00 | $1,536.00 | Estimate of costs for electrical service in Willis Tower for new equipment. Actual costs to be determined. | $1,536.00 | N/A |
| High VHF - Air Cooled Solid State Transmitter 400 - 1000 Watts | $30,000.00 | $35,467.33 | Cost determined by quote and invoices attached | $35,467.33 | N/A |
| Interim Transmitter Taxes | $8,000.00 | $8,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Interim Transmitter Shipping fee | $5,000.00 | $5,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Final Transmitter Taxes | $2,305.38 | $2,305.38 | Estimated costs. Actual costs to be determined. | $2,305.38 | N/A |
| Interim Site Prep | $20,000.00 | $20,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Final Transmitter - Decommission | $25,000.00 | $25,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Final Transmitter Shipping fees | |
| Final Transmitter Installation | |
| Final Transmitter | Information not provided. |
| Final Transmitter - Site prep | Information not provided. |
| Interim Transmitter -Decommissioning | Information not provided. |
| Transmitter Building Site Survey/Installation | |
| Other Electrical Service: Willis tower electrical service required | |
| High VHF - Air Cooled Solid State Transmitter 400 - 1000 Watts | |
| Interim Transmitter Taxes | Information not provided. |
| Interim Transmitter Shipping fee | Information not provided. |
| Final Transmitter Taxes | |
| Interim Site Prep | Information not provided. |
| Final Transmitter - Decommission | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $157,055.00 | $183,390.00 | N/A | $84,563.92 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Primary Antenna JUED-4-3(12)-4(16) | $157,055.00 | $183,390.00 | $84,563.92 | ||
| Mount Design | $8,000.00 | $8,000.00 | Per attached ERE quote, plus estimated costs for final config. Actual costs to be determined. | N/A | N/A |
| Final Antenna Sales Tax | $5,000.00 | $5,000.00 | Estimated costs. Actual costs to be determined. | $0.00 | N/A |
| Final Antenna Shipping fee | $5,000.00 | $5,000.00 | Estimated costs. Actual costs to be determined. | $3,073.92 | N/A |
| Interim Antenna Sales Tax | $2,000.00 | $2,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Side Mount antenna brackets | $4,625.00 | $16,690.00 | Actual costs per Jampro invoice | $16,690.00 | N/A |
| Elbow complex, single channel, 1 5/8” input (if needed) | $6,900.00 | $6,900.00 | N/A | N/A | N/A |
| Sweep test of transmission line and antenna | $5,730.00 | $20,000.00 | Estimated costs for interim and final sweeps. Actual costs to be determined. | N/A | N/A |
| High VHF-Low Power, Side Mount, Slotted Coaxial, 0.4kW input, Elliptical | $64,800.00 | $64,800.00 | N/A | $64,800.00 | N/A |
| Final Antenna costs | $50,000.00 | $50,000.00 | Estimated costs. Actual costs to be determined. | $0.00 | N/A |
| Interim Antenna Shipping fee | $5,000.00 | $5,000.00 | Estimated costs. Actual costs to be determined. | $0.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Mount Design | Information not provided. |
| Final Antenna Sales Tax | Information not provided. |
| Final Antenna Shipping fee | |
| Interim Antenna Sales Tax | Information not provided. |
| Side Mount antenna brackets | |
| Elbow complex, single channel, 1 5/8” input (if needed) | Information not provided. |
| Sweep test of transmission line and antenna | Information not provided. |
| High VHF-Low Power, Side Mount, Slotted Coaxial, 0.4kW input, Elliptical | |
| Final Antenna costs | |
| Interim Antenna Shipping fee |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $35,200.00 | $35,200.00 | N/A | $5,476.80 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Primary Transmission Line | $35,200.00 | $35,200.00 | $5,476.80 | ||
| Final Transmission line shipping | $2,000.00 | $2,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Final transmission line | $9,600.00 | $9,600.00 | Estimated costs. Actual costs to be determined. | $5,476.80 | N/A |
| Interim Transmission line taxes | $1,000.00 | $1,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Interim Transmission line shipping | $2,000.00 | $2,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Final Transmission line taxes | $1,000.00 | $1,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | $10,000.00 | $10,000.00 | Estimate of interior RF systems required for transition to new channel. Actual costs to be determined. | N/A | N/A |
| Flexible Foam Transmission Line - dielectric, 1 5/8" | $9,600.00 | $9,600.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Final Transmission line shipping | Information not provided. |
| Final transmission line | |
| Interim Transmission line taxes | Information not provided. |
| Interim Transmission line shipping | Information not provided. |
| Final Transmission line taxes | Information not provided. |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | Information not provided. |
| Flexible Foam Transmission Line - dielectric, 1 5/8" | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $112,519.00 | $112,519.00 | N/A | $112,519.00 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Primary Tower BMAST | $112,519.00 | $112,519.00 | $112,519.00 | ||
| Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | $112,519.00 | $112,519.00 | Cost determined by invoices. Includes both an interim antenna installation as well as the main antenna installation. | $112,519.00 | actual costs |
| Actual Information Description | File Name |
|---|---|
| Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $354,429.52 | $792,554.52 | N/A | $154,314.99 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Outside Professional Services | $354,429.52 | $792,554.52 | $154,314.99 | ||
| Form 399 assistance or other Program Management costs | $34,457.00 | $34,457.00 | Estimated costs. Actual costs to be determined. | $33,687.00 | Actual costs equal estimated costs |
| Comprehensive coverage verification via field study, if needed | $52,600.00 | $43,732.00 | Per-attached quote number 726-R for Coverage Verification | N/A | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $4,470.00 | $10,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Attorney Fees - Negotiation of lease and other matters for shared locations | $3,262.50 | $100,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $5,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $5,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $5,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $10,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Prepare request for Special Temporary Authorization | $2,560.00 | $6,000.00 | Estimate of costs. Actual costs to be determined. | N/A | N/A |
| Perform engineering study for displacement application | $1,800.00 | $5,000.00 | Estimate of expected costs. Actual costs to be determined. | $2,625.00 | N/A |
| Attorney - General services | $100,000.00 | $100,000.00 | Estimated costs of general attorney fees related to Willis Tower project. Actual costs to be determined. | $22,167.50 | N/A |
| Additional Field Engineering Service, 50 Days | $55,395.02 | $55,395.02 | Estimate of field engineering required to assist in transition activities. Includes engineering services for installation activities as well as engineering services to coordinate/facilitate move from Willis Tower to Hancock Bldg. | $55,282.99 | Per actual costs |
| Engineering - General services | $36,912.50 | $36,912.50 | Cost determined from invoices | $36,512.50 | Costs same as estimated |
| Prepare Form 601 | $755.00 | $755.00 | N/A | N/A | N/A |
| Project management of the transition | $52,750.00 | $372,803.00 | Per actual costs | $1,540.00 | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $2,500.00 | Per attached Anywave invoice. | $2,500.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Form 399 assistance or other Program Management costs | |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| 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 | Information not provided. |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
| Prepare request for Special Temporary Authorization | Information not provided. |
| Perform engineering study for displacement application | |
| Attorney - General services | |
| Additional Field Engineering Service, 50 Days | |
| Engineering - General services | |
| Prepare Form 601 | Information not provided. |
| Project management of the transition | |
| Prepare/ Review 399 reimbursement form |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $163,985.00 | $171,310.00 | N/A | $95,478.96 | N/A |
| Total for all systems | $1,152,147.79 | $1,629,508.65 | N/A | $504,888.80 | N/A |
| Other Expenses | $163,985.00 | $171,310.00 | $95,478.96 | ||
| Internet Installation | $4,650.00 | $4,650.00 | Per Cogent Communications work order. NOT requesting monthly fee; only cost for installation | $0.00 | N/A |
| Willis Tower Connection Fees | $85,000.00 | $85,000.00 | Willis Tower connection fees, for interim and final configs. | $85,000.00 | N/A |
| Equipment Storage | $25,000.00 | $25,000.00 | Estimate of expected costs. Actual costs to be determined. | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $3,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 Major change CP application | $4,960.00 | $10,000.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| FCC Filing Fees - Special Temporary Authorization request | $305.00 | $700.00 | Estimated costs. Actual costs to be determined. | N/A | N/A |
| Building Permits for CP | $2,625.00 | $2,625.00 | Costs per actual invoices | $2,625.00 | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $20,000.00 | $20,000.00 | Estimate of expected disposal costs. Actual costs to be determined. | N/A | N/A |
| Equipment Delivery and Handling Charges | $20,000.00 | $20,000.00 | Estimate of expected delivery and handling costs. Actual costs to be determined. | $7,853.96 | N/A |
| Actual Information Description | File Name |
|---|---|
| Internet Installation | |
| Willis Tower Connection Fees | |
| Equipment Storage | Information not provided. |
| FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| FCC Filing Fees - Form 2100 Major change CP application | Information not provided. |
| FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
| Building Permits for CP | |
| Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
| Equipment Delivery and Handling Charges |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $1,152,147.79 | $1,629,508.65 | $504,888.80 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Ravi Kapur President 05/10/2023 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Ravi Kapur President 05/10/2023 |
