STC SR00828DE

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

Part 27 of the Federal Aviation Regulations.

Installation of Automatic Dependent Surveillance – Broadcast (ADS-B) Out functionality using the Garmin G330ES or G33H ES Transponder and qualified position sensor, in accordance with the aforementioned AML and the Peregrine Master Drawing List, Document No. E-AM-15-0002, Rev A, dated April 11, 2016, or later FAA-approved revision.

1. The installation must not be incorporated in any rotorcraft unless the installer determines that the interrelationship between this installation and any previously approved configuration will not introduce any adverse effect upon the airworthiness of the rotorcraft.

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 records of the altered aircraft.

Date of Application: July 6, 2015 Date Reissued: December 19, 2018 Date of Issuance: December 1, 2016 Date Amended:

Signature

Todd Dixon Manager, Denver ACO Branch Compliance and Airworthiness Division SR00828DE

Peregrine 7385 S. Peoria Street Unit C4 Englewood, CO 80112 FAA Approved Model List (AML) for ADS-B Out Document No.

SR00828DE, Rev IR, dated December 1, 2016, or later FAA approved revision, lists the approved airplane models, applicable installation data requirements, and specific limitations.

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR00828DE

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

To (Name and address of transferee)

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