STC SR02122NY-D

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

Part of the

Signature

Title SR02122NY-D Sikorsky Aircraft Corporation 6900 Main Street Stratford, CT 06615 Federal Aviation Regulations.

1. Installation of Honeywell High Intensity Strobe Lights in accordance with Keystone Helicopter Installation drawing List IDL01319 Rev. E dated 08/03/2010 or later FAA approved revision.

2. Keystone Helicopter Instructions for Continued Airworthiness, High Intensity Strobe Lights Installed in Sikorsky S-76A/B/C Aircraft, Report No. IC01319 Rev. C dated July 01, 2010 or later FAA accepted revision is required for this modification.

3. FAA Approved Rotorcraft Flight Manual Supplement, Supplement No. FM01319 Rev. 1 dated 09/28/2007 or later FAA approved revision is required for this modification.

1. This installation requires both upper and lower anti-collision lights (33776-67102-011 or 06076-10U001-1) and 33776-67102-012 to be installed together.

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

3. 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/B/C March 14, 2011, October 1, 2011, December 17, 2014 May 20, 2009, August 16, 2010 June 23, 2006 December 21, 2006 H1NE 3

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SR02122NY-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:

a. 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.

b. 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 29-52. 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 29-52

29.301, 29.303, 29.305(a), 29.307(a), 29.337, 29.341, 29.601, 29.603, 29.607, 29.609,

29.613(a)(b)(d), 29.1301, 29.1309(b)(2)(d)(g), 29.1351(a), 29.1353(a), 29.1357(a)(c), 29.1359(a)(c), 29.1401(b)

(c)(e)(f), 29.1431, 29.1501, 29.1529, 29.1581(a)(b)(d)

Regulations at an intermediate amendment N/A

Regulations at the amendment level in TCDS H1NE

29.561(a)(b)(3) ----------END---------- SR02122NY-D