STC SR00824DE

FFAA Form 8110-2 (03/21) Page 1 of United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number:

SR00824DE AMS Heli Design 164 Gosnell Street North Texas Regional Airport Denison, TX 75020 Part 27 Federal Aviation Regulations H7EU Agusta A109E, A119, and AW119 MKII Installation of Emergency Medical Services Interior and alternate cabin seating interior configurations in accordance with AMS Heli Design Document ALSS-A100-MDL01, Master Drawing List, Rev M dated 02/01/2024, or later FAA approved revision.

See sheet three of this certificate for Instructions for Continued Airworthiness (ICA) and Rotorcraft Flight Manual Supplement (RFMS) requirements.

1. The installer must determine whether this design change is compatible with previously approved modifications.

2. 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.

July 13, 2017 November 24, 2017 April 15, 2024 4 Compliance & Airworthiness

for Paul (Vu) Nguyen Manager, Central Certification Branch Aircraft Certification Service

FAA Form 8110-2 (03/21) Page 2 of United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number:

SR00824DE 4

3 4 SR00824DE ICA and RFMS requirements:

For cabin interior configurations when Base P/N MIA000001J is installed:

Instructions for Continued Airworthiness (ICA), Document No. ALSS-A100- ICA01, Revision B dated 03/04/2024, or later revision is required. FAA Approved Rotorcraft Flight Manual Supplement (RFMS), Document No. ALSS- A100-RFMS01, Revision C, dated 03/12/2024, or later FAA approved revision is required. For cabin interior configurations when Base P/N 1842252012 is installed: ICA, Document No. 1842911003, Revision B dated 03/04/2024, or later revision is required. FAA Approved RFMS, Document No. 1842912002, Revision IR, dated 03/04/2024, or later FAA approved revision is required.

1. The installer must determine whether this design change is compatible with previously approved modifications.

2. 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.

4 4 SR00824DE Certification Basis:

Based on 14 CFR §§ 21.115 and 21.101, and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for the Agusta A109E, A119, AW119 MKII rotorcraft as follows:

a. The type certification basis for Agusta A109E, A119, AW119 MKII rotorcraft is shown on TCDS H7EU for parts not changed or not affected by the change.

b. The certification basis for parts changed or affected by the change since the reference date of application, July 13, 2017, is based upon 14 CFR Part 27, effective February 1, 1965 plus Amendments 27-1 through 27-8, plus later amendments for certain regulations, as defined per the TCDS. Based on 14 CFR §§ 21.115 and 21.101, and the FAA policy for significant changes in FAA Order 8110.48, the certification basis for this modification was determined to be:

Regulations at the TCDS Certification Basis (Part 27, Amendments 27-1 through 27-8, plus later amendments as identified):

14 CFR Sections: 27.301 Amdt. - ; 27.303 Amdt. - ; 27.305(a),(b)(1) Amdt. - ; 27.307(a) Amdt. 27-26; 27.337(a) Amdt. 27-26; 27.341 Amdt. - ; 27.561(a),(b)(1)(3),(c) Amdt. - ;

27.601(a) Amdt. - ; 27.603 Amdt. 27-16; 27.605(a) Amdt. 27-16; 27.607 Amdt. 27-4; 27.609 Amdt. - ; 27.610(d) Amdt. 27-46; 27.611 Amdt. - ; 27.613 Amdt. 27-26; 27.619 Amdt. - ;

27.625(d) Amdt. 27-35; 27.625 Amdt. - ; 27.771(a),(b) Amdt. - ; 27.773(a)(1),(b) Amdt. - ;

27.777 Amdt. - ; 27.783(a) Amdt. 27-26; 27.785(a),(b),(d) Amdt. - ; 27.785(k)(1)(2) Amdt.

27-25; 27.785(k)(2) Amdt. 27-35; 27.787 Amdt. - ; 27.807(b)(1)(2) Amdt. 27-26; 27.853(a),(b) Amdt. 27-17; 27.855 Amdt. - ; 27.863(a),(b) Amdt. 27-16; 27.1301 Amdt. - ; 27.1309(a),(b),

(c),(d) Amdt. 27-21; 27.1351(a),(b)(1)(i),(ii) Amdt. 27-13; 27.1357(a),(b),(c),(d) Amdt. 27-13;

27.1365 Amdt. - ; 27.1367(a),(b),(c) Amdt. - ; 27.1411 Amdt. 27-11; 27.1413 Amdt. 27-21;

27.1523(a),(b) Amdt. - ; 27.1529 Amdt. 27-18; 27.1541 Amdt. - ; 27.1555 Amdt. 27-21;

27.1557(a) Amdt. 27-11; 27.1581 Amdt. 27-14; 27.1585(a) Amdt. 27-21; 27.1589 Amdt. –

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - END- - - - - - - - - - - - - - - - - - - - - - - - - -