Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | No |
Briefly describe transition plan | Replace the transmitter, line and antenna per the channel reassignment with reasonable and customary engineering and business practices. |
Section | Question | Response |
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Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
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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 | SDT202UB | |
Year | 2012 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1 kW |
Section | Question | Response |
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New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TRN-U-3000-FA | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 3 kW | |
Justification for New Transmitter | New transmitter needed to reach required ERP. |
Section | Question | Response |
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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 | 240 Volt Power Circuit | |
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 |
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Transmitter Decommissioning and Installation of New Transmitter |
Harvesting and removal of old transmitter, and installation of new |
Transmitter Shipping fee |
Shipping fees for new transmitter |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
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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 | Top | |
Polarization | Circular | |
Type | Slotted Coaxial | |
ERP: | 15.0 kW | |
Manufacturer | ||
Model | PSILP2BC-CP | |
Year | 2012 |
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 | Top | |
Polarization | Circular | |
Type | Slotted Coaxial | |
ERP: | 15.0 kW | |
Manufacturer | ||
Model | SWLP8EC | |
Year | 2024 | |
Justification for New Antenna | New antenna required for new channel 21. OLD CHANNEL 48 |
Section | Question | Response |
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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 |
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Decommissioning of Old Antenna and Installation of New Antenna |
Uninstall old antenna and install new antenna |
Section | Question | Response |
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Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
Section | Question | Response |
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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 | 7/8 inches | |
Number of parallel runs | 1 | |
Length | 750 feet per run |
Section | Question | Response |
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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 | 150 feet per run | |
Justification for New Transmission Line | New line required to mate new antenna with new transmitter. | |
Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | No |
Name | Description |
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Parts, pieces, connectors |
Miscellaneous parts and pieces in order to connect new equipment. |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
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Existing Tower Description | Type of change | Modify Existing |
Tower Use | Primary (Main) | |
Ownership | Owned | |
Is this tower consider Complex? | Located on Building | |
Is this tower currently shared with any other stations? | No | |
Is tower documented for structural analysis? | Unknown | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1214092 | |
Coordinates (NAD83) | Latitude (NAD83) | 40° 04' 58.2" N- |
Longitude (NAD83) | 075° 10' 54.6" W- | |
Overall Structure Height | 380.90 feet | |
Support Structure Height | 380.90 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 419.94 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | B A RADIO COMPANY INC | |
Date Constructed | 01/02/2000 |
Section | Question | Response |
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Engineering Study | Please what type of engineering study is required, if any: | Tower mapping and report for structural engineer |
Tower Reinforcements | Please select whether tower reinforcements are needed: | No reinforcements needed |
Section | Question | Response |
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Tower Rigging Costs | Complex Tower | Located on Building |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
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Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 200 | |
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. | |
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 | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 2 | |
Prepare Form 601 | No | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
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 | Yes | |
Additional Field Engineering Service | Yes | |
Number of Days | 5 | |
Justification | Prepare or Review FCC Form 399 for Reimbursement |
Name | Description |
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Other 399 preparation fees |
Assistance with the preparation form 399 |
Section | Question | Response |
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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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $132,300.00 | $119,000.00 | N/A | $45,106.00 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Primary Transmitter TRN-U-3000-FA | $132,300.00 | $119,000.00 | $45,106.00 | ||
UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW | $106,300.00 | $78,000.00 | Est is equal actual cost | $36,606.00 | N/A |
Transmitter Shipping fee | $3,000.00 | $3,000.00 | Estimated shipping costs for transmitter. Actual costs to be determined. | $0.00 | ORIGINAL ESTIMATE WAS INCORRECT DUE TO INCREASED TRANSPORT COSTS |
Transmitter Decommissioning and Installation of New Transmitter | $9,000.00 | $9,000.00 | N/A | $0.00 | N/A |
Transmitter Building Site Survey/Installation | $10,000.00 | $25,000.00 | Estimated costs for site survey and transmitter installation. Revised upon Site Survey. | $8,500.00 | THE SUBTOTAL IS LESS THAN THE EST |
Other Electrical Service: 240 Volt Power Circuit | $4,000.00 | $4,000.00 | N/A | $0.00 | N/A |
Actual Information Description | File Name |
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UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW | |
Transmitter Shipping fee | |
Transmitter Decommissioning and Installation of New Transmitter | |
Transmitter Building Site Survey/Installation | |
Other Electrical Service: 240 Volt Power Circuit |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $32,255.00 | $32,255.00 | N/A | $11,017.50 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Primary Antenna SWLP8EC | $32,255.00 | $32,255.00 | $11,017.50 | ||
Elbow complex, single channel, 1 5/8” input (if needed) | $6,900.00 | $6,900.00 | N/A | $11,017.50 | THE EST COSTS WAS INCORRECTLY ENTRED. THE CORRECTIONS HAVE BEEN MADE. |
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Side Mount antenna brackets | $4,625.00 | $4,625.00 | N/A | N/A | N/A |
Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | THE EST IS LESS THAN THE PREDETERMINED COST | $0.00 | THE SUBTOTAL COSTS IS LESS THAN THE ESTIMATED COSTS |
Decommissioning of Old Antenna and Installation of New Antenna | $10,000.00 | $10,000.00 | N/A | $0.00 | N/A |
Actual Information Description | File Name |
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Elbow complex, single channel, 1 5/8” input (if needed) | |
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | Information not provided. |
Side Mount antenna brackets | Information not provided. |
Sweep test of transmission line and antenna | |
Decommissioning of Old Antenna and Installation of New Antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $3,600.00 | $5,310.00 | N/A | $2,655.00 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Primary Transmission Line | $3,600.00 | $5,310.00 | $2,655.00 | ||
Flexible Foam Transmission Line - dielectric, 1 5/8" | $3,600.00 | $5,310.00 | THE ESTIMATED COST ARE LESS THAN THE PREDETERMINED COST | $2,655.00 | THE SUBTOTAL AND ESTIMATED COSTS ARE THE SAME AMOUNT |
Parts, pieces, connectors | $0.00 | $0.00 | Miscellaneous parts and pieces required to connect new equipment. | $0.00 | N/A |
Actual Information Description | File Name |
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Flexible Foam Transmission Line - dielectric, 1 5/8" | |
Parts, pieces, connectors | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $82,190.00 | $43,635.44 | N/A | $17,635.44 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Primary Tower TOWER | $82,190.00 | $43,635.44 | $17,635.44 | ||
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Tower mapping and report for structural engineer | $21,000.00 | $21,000.00 | THE ESTIMATED AND THE PREDETERMINED COSTS ARE THE SAME | $0.00 | LICENSEE WAS ABLE TO NEGOTIATE A LOWER PRICE THAN THE PREDETERMINED COST |
Tower Rigging Short Tower (less than 500') | $56,190.00 | $17,635.44 | ***System Notice: Estimate adjusted and locked because line has been superseded.***EST COST IS LESS THAN PREDTERMINED COST | $17,635.44 | THE SUBTOTAL IS LESS THAN THE ESTIMATED COST |
Actual Information Description | File Name |
---|---|
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | Information not provided. |
Tower mapping and report for structural engineer | |
Tower Rigging Short Tower (less than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $129,015.00 | $144,925.00 | N/A | $11,151.80 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Outside Professional Services | $129,015.00 | $144,925.00 | $11,151.80 | ||
Attorney Fees - Prepare and File request for Special Temporary Authorization | $2,235.00 | $2,235.00 | N/A | N/A | N/A |
Attorney Fees - Negotiation of lease and other matters for shared locations | $3,262.50 | $3,262.50 | N/A | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,102.50 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,560.00 | $1,280.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | N/A | N/A |
Perform engineering study for displacement application | $1,800.00 | $1,800.00 | N/A | N/A | N/A |
Additional Field Engineering Service, 5 Days | $12,500.00 | $12,500.00 | Estimated field engineering services during transition activities. Actual costs to be determined. | $0.00 | DELETE ENTRY |
Other 399 preparation fees | $5,000.00 | $5,000.00 | EST IS LESS THAN PREDETERMINED COST | $4,761.80 | Paperwork PM: Phase Completion - Other Transition -Project Management - Market Closeout -Managing vendor invoices, formatting to FCC requirements, attaching supporting documents and submitting to FCC for client review and certification |
Form 399 assistance or other Program Management costs | $6,390.00 | $6,390.00 | Per attached QCommunications quote. | $6,390.00 | THE SUBTOTAL IS THE SAME AS THE EST. |
RF Exposure Measurements | $12,100.00 | $12,100.00 | N/A | N/A | N/A |
Comprehensive coverage verification via field study, if needed | $52,600.00 | $52,600.00 | Required to verify coverage from new configuration EST IS LESS THAN PREDETERMINE COST | $0.00 | SUBTOTAL IS LESS THAN EST |
Prepare/ Review 399 reimbursement form | $1,710.00 | $4,000.00 | Form 399 more technically complex/time-consuming that initially expected | $0.00 | THE PREPARATION OF THE 399 WAS MORE TECHNICALLY COMPLICATED THAN THE LICENSEE COULD HANDLE AND REQUIRED MORE TIME THAN INITIALLY ESTIMATED. |
Project management of the transition | $21,100.00 | $36,000.00 | Project management is anticipated to be extremely complicated | $0.00 | N/A |
Actual Information Description | File Name |
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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), Construction Permit Application | Information not provided. |
Prepare request for Special Temporary Authorization | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Perform engineering study for displacement application | Information not provided. |
Additional Field Engineering Service, 5 Days | |
Other 399 preparation fees | |
Form 399 assistance or other Program Management costs | |
RF Exposure Measurements | Information not provided. |
Comprehensive coverage verification via field study, if needed | |
Prepare/ Review 399 reimbursement form | |
Project management of the transition |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $12,710.00 | $12,805.00 | N/A | $0.00 | N/A |
Total for all systems | $392,070.00 | $357,930.44 | N/A | $87,565.74 | N/A |
Other Expenses | $12,710.00 | $12,805.00 | $0.00 | ||
Equipment Storage | $2,000.00 | $2,000.00 | Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. | N/A | N/A |
Equipment Delivery and Handling Charges | $2,000.00 | $2,000.00 | Estimated transport, forklift rental and handling fees from staging area to transmitter site. Actuals to be determined. | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,000.00 | $2,000.00 | Estimated 4-6 yard disposal bin on site to capture all waste from on site system integration and tower vendors. Actual costs to be determined. | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $305.00 | $400.00 | Two STAs ($200.00 per STA) | N/A | N/A |
FCC Filing Fees - Form 2100 Major change CP application | $4,960.00 | $4,960.00 | N/A | 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 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $392,070.00 | $357,930.44 | $87,565.74 |
Question | Response |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Eugene Cliett President 03/15/2024 |
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). |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Eugene Cliett President 03/15/2024 |