STC SR00821DE

FAA Form 8110-2 (5/14) Page 1 of 3

Part 27 of the Federal Aviation Regulations.

Installation of Automatic Dependent Surveillance - Broadcast (ADS-B) Out and in functionality using the BendixKing KT74 Transponder and qualified position sensor and ADS-B In Receiver, in accordance with Master Drawing List, E-BK-15-0002, Rev IR, dated 04/15/2016, and FAA approved July 19, 2016, or later FAA approved revision.

1. The installation should not be incorporated in any rotorcraft unless it is determined that the interrelationship between this installation and any previously approved configuration will not introduce any adverse effect upon the airworthiness of the aircraft.

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

3. A copy of this certificate must be maintained as part of the permanent record of the altered rotorcra ft.

(Limitations and Conditions continued on page 3 of 3)

Date of Application: October 30, 2015 Date Reissued: December 19, 2018 Date of Issuance: July 19, 2016 Date Amended:

Signature

SR00821DE

Peregrine 7385 S. Peoria Street Unit C4 Englewood, CO 80112 FAA Approved Model List (AML) for ADS-B Out and In, Doc No. SR00821DE, Rev IR, dated July 19, 2016, or later FAA approved revision, lists the approved rotorcraft models, applicable installation data requirements, and specific limitations.

Todd Dixon Manager, Denver ACO Branch Compliance and Airworthiness Division

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

To (Name and address of transferee)

From (Name and address of grantor)

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

Limitations and Conditions (continued)

4. The modified rotorcraft must be maintained in accordance with the Instructions for Continued Airworthiness identified in FAA AML SR00821DE, Rev IR dated July 19, 2016, or later FAA approved revision.

5. A copy of Instructions for Continued Airworthiness identified in FAA AML SR00821DE must be made available to the owner/operator at the time of installation.

6. A copy of this certificate and the FAA approved Rotorcraft Flight Manual Supplement for the modified rotorcraft listed in FAA AML SR00821DE, must be maintained as part of the permanent records of the rotorcraft.

Certification Basis:

See attached FAA AML SR00821DE, Rev IR dated July 19, 2016 or later FAA approved revisions for the list of approved equipment and models.

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