STC SR04057NY

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

Part of the

Signature

Title SR04057NY Air Ambulance Technology GmbH Lamprechtshausenerstr. 65 5282 Ranshofen, Austria Federal Aviation Regulations.

1. Installation of modular “quick conversion” Air Ambulance equipment, configurations EC130-25-20-41.000-601 and EC130-25-20-41.000-609, in accordance with Master Data List MDL-EC130T2-EMS, revision 03, and “Component, Installation, Operation Manual, Illustrated Part Catalog”, Document CMM-EC130-AAT85, Revision 3, dated September 2016, or later EASA approved revisions.

(Description of Type Design Change Continued of Page 3 of 3)

1. The EASA approved Airworthiness Limitations section of Instructions for Continued Airworthiness, Document No. ICA- EC130-25-20-41.000-600 Series, Initial Issue, Revision 0, dated October 2016, is mandatory.

2. "Quick conversion" Air Ambulance Equipment configuration EC130-25-20-41.000-601 incorporates provisions (storage space, attachments and electrical power supply) for medical devices. Installation and operation of those devices are not part of this STC.

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

(Limitations and Conditions Continued on Page 3 of 3) Anthony E. Gallo Acting Manager New York ACO Branch Airbus Helicopters EC130T2 November 2, 2016 February 15, 2018 IMPORT H9EU 3

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

To (Name and address of transferee)

From (Name and address of grantor)

3 SR04057NY

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

Date of Issuance: February 15, 2018

Description of Type Design Change (continued):

a. Configuration EC130-25-20-41.000-601 incorporates a single stretcher installed on a structure called basic unit attached to the seat tracks of the cabin floor, and a medical equipment carrier attached to the seat tracks of the cabin floor and to the basic unit.

b. Configuration EC130-25-20-41.000-609 incorporates a single stretcher installed on a medical floor attached to the seat tracks of the cabin floor.

2. Air Ambulance Technology “Instructions for Continued Airworthiness”, Document No. ICA- EC130-25-20-41.000-600 Series, Initial Issue, Revision 0, dated October 2016 or later EASA accepted revisions is required with this modification.

3. Air Ambulance Technology, Rotorcraft Flight Manual Supplement, Document “FMS AAT65”, Revision 1, dated August 17, 2016 or later EASA approved revisions is required with this installation.

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

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