Channel Sharer Certifications for Full Power Station Sha

Channel Sharer Certifications for Full Power Station Sharer
Licensee Name, Call Sign and Facility ID of Channel Sharer:

Licensee Name, Call Sign, and Facility ID of each Channel Sharee:

On behalf of the Channel Sharer, I certify the following:
1. that the channel sharing agreement is consistent with all Commission rules and policies, and that
the Channel Sharer accepts any risk that the implementation of the channel sharing agreement may
not be feasible for any reason, including any conflict with requirements for operation on the shared
channel;
2. that the proposed channel sharing arrangement will not violate the multiple ownership rules, set
forth in 47 C.F.R. § 73.3555, based on the facts at the time the application is submitted; and
3. that the channel sharing agreement submitted by the Channel Sharee reverse auction applicant(s) is
a true, correct, and complete copy of the channel sharing agreement between the parties.
I declare, under penalties of perjury, that I am an authorized representative of the above named Channel
Sharer, that I have read the instructions and the foregoing certifications and all matters and things stated
in the channel sharing agreement and attachments are true and correct.

Printed Name:
Title / Relationship to Channel Sharer Licensee:
Signature:
Date: