STC SR01127NY-D

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

Part of the

Signature

Title SR01127NY-D Sikorsky Aircraft Corporation 6900 Main Street Stratford, CT 06615 Federal Aviation Regulations.

1. Installation of a Keystone Medical Interior in accordance with Keystone Helicopter Installation drawing List IDL00549 Rev. F dated 02/14/10.

2. Keystone Helicopter Instructions for Continued Airworthiness, Medical Interior Installation, Report No. IC00549 Rev. B dated December 15, 2009 or later FAA accepted revision is required for this modification.

3. Keystone Helicopter Corp., FAA Approved Rotorcraft Flight Manual Supplement No. FM00549 Rev. 1 dated February 14, 2010 or later FAA approved revision is required for this installation on configurations No. 1, 2, 3, 4, 5, 6, 14, and 15.

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.

Gaetano Sciortino Manager New York Aircraft Certification Office Sikorsky S-76A, S-76B, and S-76C October 1, 2011, December 17, 2014 February 14, 2010 May 15, 2002 September 16, 2002 H1NE 3

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SR01127NY-D

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

3 Date Reissued: December 17, 2014

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 Sikorsky S-76A/B/C is as follows:

1. The type certification basis for Sikorsky S-76A/B/C is shown on TCDS H1NE for parts not changed or not affected by the change.

2. The certification basis for parts changed or affected by the change since the reference date of application is based upon Part 29 as amended by Amendment 29-51. 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 latest amendment 29-0 through 29-51

29.301, 29.303, 29.305(a), 29.307(a), 29.337, 29.601(a), 29.603, 29.605(a), 29.607, 29.609, 29.613,

29.625(a)(b)(d), 29.787(a)(b)(c), 29.807(b)(c), 29.809(b)(c), 29.813(c)(2), 29.853(a)(b)(c)(d), 29.1301, 29.1307(a),

29.1327, 29.1351(a), 29.1353(a), 29.1357(a)(c), 29.1359, 29.1413, 29.1501, 29.1523, 29.1529, 29.1541(a)(2)(b),

29.1547, 29.1557(a), 29.1581(a)(b)(d), 29.1583(c)(d), 29.1585(a)

Regulations at an intermediate amendment

29.785(a)(b)(c)(d)(e)(f)(g)(k){Amdt. 29-29}

Regulations at the amendment level in TCDS H1NE

29.561(a)(b)(1)(3)(c), 29.803(a)(b), 29.811(a)(b)(c)(d)(e)(1)(f)(g)(i)

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