STC SR00851DE

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

Part 29 of the Federal Aviation Regulations.

Installation of Automatic Dependent Surveillance – Broadcast (ADS-B) Out functionality using the Garmin GTX 330ES transponder and a qualified position sensor, in accordance with the aforementioned AML and the Peregrine Master Drawing List, Document No. E-AM-15-0022, Rev B, dated April 27, 2017, 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 rotorcraft.

Date of Application: November 16, 2015 Date Reissued: December 19, 2018; May 6, 2019 Date of Issuance: April 28, 2017 Date Amended:

Signature

Todd Dixon Manager, Denver ACO Branch Compliance and Airworthiness Division SR00851DE

Peregrine 7385 S. Peoria Street Unit C4 Englewood, CO 80112 FAA Approved Model List (AML) for ADS-B Out, Document No. SR00851DE, Rev IR, dated April 28, 2017, or later FAA approved revision, lists the approved rotorcraft models, applicable installation data requirements, and specific limitations.

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR00851DE

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

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