STC SH3887SW

FAA Form 8110-2 (5/14) Page 1 of 2

Number: SH3887SW

Part 29 of the Federal Aviation Regulations

Original Product – Type Certificate Number: H4SW Make: Bell Helicopter Textron, Inc.

Model: 412, 412EP Description of Type Design Change:

Installation of Emergency Medical Service Interior, Configuration A and Configuration B, in accordance with Helidyne Drawing List HD412-00-0067, Rev. E dated October 21, 1991, for Configuration A, and HD412-00-0068, Rev. C dated May 23, 1988 for Configuration B. Later FAA approved revisions are acceptable.

FAA approved Rotorcraft Flight Manual Supplement HDD-87-22 Revision B, dated January 31, 1991, or later FAA approved revision is required. The installer must determine whether this design change is compatible with previously approved modifications.

If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission.

Date of Application: August 31, 1987 Date Reissued: 3/28/90; 12/9/10; 8/3/16; 1/30/17 Date of Issuance: December 16, 1987 Date Amended: 7/22/88; 2/4/91; 2/13/95 Revision 3

Signature

Title James A. Grigg Manager, Fort Worth Aircraft Certification Office, Southwest Region RSG Products 3900 Falcon Way, Hangar 16S Fort Worth, TX 76106

FAA Form 8110-2 (5/14) Page 2 of 2

Transfer the ownership of Supplemental Type Certificate Number: SH3887SW

To (Name and address of transferee)

From (Name and address of grantor)

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: ST10962SC

FAA Form 8110-2 (5/14) Page 3 of 3