STC SR02611NY-D

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Page 1 of 3 FAA Form 8110-2 (5/14) Number: SR02611NY-D This certificate issued to: LifePort, LLC.

Part 29 of the Federal Aviation Regulations.

H1NE Make: Sikorsky Model: S-76A, S-76B, S-76C Description of Type Design Change:

1. Installation of the LifePort One Man Loading Patient Litter System in accordance with LifePo rt, Inc. Master Drawing List

for the One Man Loading EMS System as Installed in the Sikorsky S-76 Series Rotorcraft per CF1-078, MDL-837-00 rev AC dated 07/21/11, or later FAA approved revision.

1.LifePort, Inc. Instructions for Continued Airworthiness for the One Man Loading Patient Litter System Installation in the Sikorsky S76 Series Rotorcraft, EGR-837-12 rev E dated 07/15/2011 or later FAA accepted revision is required for this modification.

2 . FAA Approved Rotorcraft Flight Manual Supplement, Supplement No. EGR-837-16 Rev. A dated 07/22/2011 or later FAA approved revision is required for this modificatio n.

3.Perform the following upon installation: EMI/RFI Test Plan TP0 2613 rev- dated 03/30/2011 and Ground Test Plan TP02613.1 rev A dated 07/11/2011 or later FAA approved revisions.

4.This approval should not be incorporated in any aircraft of this specific model on which other approved modifications are incorporated, unless it is determined that the interrelationship between this change and any of those previously incorporated approved modification will not introduce any adverse effect upon the airworthiness of the aircraft.

5.If the holder agrees to per mit 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: March 11, 2011 Date of Issuance: July 22, 2011 Date Reissued: May 10, 2019 Date Amended:

By Direction of the Administrator Signature Title Anthony E. Gallo Manager New York ACO Branch

1610 Heritage Street Woodland, Washington 98674 Certification Basis Continued on Page 3 of 3

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Page 2 of 3 FAA Form 8110-2 (5/14)

Transfer Endorsement Transfer the ownership of Supplemental Type Certificate Number: SR02611NY-D To (Name and address of transferee) From (Name and address of grantor) Extent of Authority (if licensing agreement):

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR02611NY-D Date reissued: May 10, 2019 FAA Form 8110-2 (5/14) Page 3 of 3

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-76C is as follows:

a. The type certification basis for Sikorsky S-76A, S-76B, and S-76C 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, 29.307(a)(b)(6), 29.337, 29.601, 29.603, 29.607, 29.609, 29.613(a)(b)(d), 29.625,

29.785(a)(b)(e)(k), 29.803(a)(b)(e), 29.807(b), 29.809(a)(b), 29.813(c)(2), 29.853(a)(c), 29.1301, 29.1309(b)(2)(d)(g),

29.1353(a), 29.1359(a)(c), 29.1413(b), 29.1431, 29.1501, 29.1529, 29.1541, 29.1561(b), 29.1581(a)(b)(d), 29.1583(c),

29.1585(a) Regulations at an intermediate amendment N/A Regulations at the amendment level in TCDS H1NE

29.561(a)(b)(3)(c), 29.811(a)(b)(c) .......END......