STC SR02587NY-D

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

Part of the

Signature

Title SR02587NY-D Sikorsky Aircraft Corporation 6900 Main Street Stratford, CT 06615 Federal Aviation Regulations.

1. Installation of a Medical Interior on a Eurocopter SA365N, SA365N1, AS365N2, AS365N3 in accordance with Keystone Helicopter Installation Drawing List IDL01938 Rev A, dated 09/16/2009.

2. The rotorcraft must be maintained in accordance with Keystone Helicopter Instructions for Continued Airworthiness IC01938 Rev. - dated 01/19/2009 or later FAA accepted revision.

3. Keystone Helicopter Flight Manual Supplement No. FM01938, Rev. -, dated 09/17/09 or later FAA approved revision is required for this installation on configurations No. 1, 2, 3, 4, 5, 6, 14, 16, 17, 20, 21, and 22.

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 Eurocopter SA365N, SA365N1, AS365N2, AS365N3 October 1, 2011, December 17, 2014 October 17, 2008 September 17, 2009 H10EU 3

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SR02587NY-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 Eurocopter SA365N, SA365N1, AS365N2, AS365N3 is as follows:

1. The type certification basis for Eurocopter SA365N, SA365N1, AS365N2, AS365N3 is shown on TCDS H10EU 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, 29.603, 29.605(a), 29.607, 29.609, 29.613(a)(b)(d), 29.625,

29.773(a)(2), 29.783(a)(c)(e), 29.803(a)(b)(e), 29.807(a)(b), 29.809(b)(c), 29.813(a)(1)(c)(2), 29.831(a), 29.1301,

29.1307(a), 29.1309(g), 29.1351(a), 29.1353(a), 29.1359(c), 29.1413, 29.1501, 29.1529, 29.1541, 29.1557(a),

29.1581(a)(b)(d), 29.1585(a)

Regulations at an intermediate amendment

29.785(a)(b)(2)(i)(ii)(c)(d)(e)(f)(2)(g)(h){Amdt. 29-24}, 29.853(a)(c){Amdt. 29-17}

Regulations at the amendment level in TCDS H10EU up to Amendment 29-16

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

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