STC SR02075LA

Number SR02075LA

This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674

Part 29* of the Federal Aviation Regulations. *Certification basis is set forth in Type Certificate Data Sheet H4SW.

Original ProductType Certificate Number: H4SW Make: Bell Model: 412, 412EP and 412CF Description of the Type Design Change: Installation of Emergency Medical System (EMS) in accordance with FAA Approved Master Drawing List for the MedPak Installation in a Bell 412 Series Helicopter, MDL -799-00, Revision D, dated November 27, 2007, or later FAA approved revision. FAA Approved Roto rcraft Flight Manual Supplement No. EGR-799-11, Revision A, dated December 19, 2007, or later FAA approved revision is required as part of this installation.

Limitations and Conditions: Approval of this change in type design applies to the above model rotorcraft only.

This approval should not be extended to other aircraft of these model series on which other previously approved modification are incorporated unless the installer determines that the relationship between this change and any other previously incorporated approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this certificate must be maintained as part of the permanent records for the modified aircraft.

If the holder agree to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission.

Date of application: April 13, 2007 Date reissued: May 10, 2019 Date of issuance: December 19, 2007 Date amended:

FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator

(Signature)

Acting Manager, Seattle ACO Branch (Title)

Transfer the ownership of Supplemental Type Certificate Number

to (Name of Transferee)

(Address of Transferee)

(Number and Street)

(City, State, and ZIP Code)

from (Name of Grantor) (Print or Type)

(Address of Grantor)

(Number and Street)

(City, State, and ZIP Code)

Signature of Grantor (In Ink):

U.S. GPO: 1987-763-289