STC SR01968NY-D

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

Number: SR01968NY-D

Part 29 of the Federal Aviation Regulations

Original Product – Type Certificate Number: H13EU Make: Airbus Helicopters Deutschland GmbH Model: MBB-BK 117 A-1, A-3, A-4, B-1, B-2, C-1, C-2 & D-2 Description of Type Design Change:

Installation of medical interior in a Eurocopter MBB-BK 117 C-2 aircraft in accordance with Keystone Helicopter Installation Drawing List IDL01012 Rev. A dated 8/16/05 or later approved revision.

1. Instructions for Continued Airworthiness – Emergency Medical Interior Aft Facing Fixed Seats Installation in Eurocopter Model BK-117 C-2 Aircraft, Report No. IC01012.1 Rev. A dated 8/16/2005 or later approved revision is required with the Aft Facing Fixed Seats installed.

2. Instructions for Continued Airworthiness – Emergency Medical Interior Translating Aft Facing Seat Installation in Eurocopter Model BK-117 C-2 Aircraft, Report No. IC01012.2 Rev. A dated 8/16/2005 or later approved revision is required with Translating Aft Facing Seat installed.

3. Instructions for Continued Airworthiness – Emergency Medical Interior Patient Loading System Installation in Eurocopter Model BK-117 C-2 Aircraft, Report No. IC01012.3 Rev. A dated 8/16/2005 or later approved revision is required with Patient Loading System (Primary Stretcher) installed.

4. Instructions for Continued Airworthiness – Emergency Medical Interior Secondary Stretcher Installation in Eurocopter Model BK-117 C-2 Aircraft, Report No. IC01012.4 Rev. A dated 8/16/2005 or later approved revision is required with Secondary Stretcher installed.

Date of Application: May 27, 2005 Date Reissued: April 20, 2009; August 3, 2016; January 26, 2017 Date of Issuance: August 17, 2005 Date Amended:

Signature

Title James A. Grigg Manager, Fort Worth Aircraft Certification Office, Southwest Region RSG Products 3900 Falcon Way West, Hangar 16S Fort Worth, TX 76106

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

Transfer the ownership of Supplemental Type Certificate Number: SR01968NY-D

To (Name and address of transferee)

From (Name and address of grantor)

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR01968NY-D

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

Date of Issuance: August 17, 2005 Date of Reissuance: January 26, 2017 Limitations and Conditions (Continued):

5. FAA approved Rotorcraft Flight Manual Supplement, Supplement No. FM01012 Rev. – dated 8/17/2005 or later approved revision is required for this modification.

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

7. 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.

-END-

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR01968NY-D

FAA Form 8110-2 (5/14) Page 4 of 3