What it approves
Installation of an Advanced Life Support System (ALSS) airborne EMS air ambulance interior
What the certificate says
From the PDF’s text layer, without the form’s printed wording. Layout and order may differ; the PDF is the record.
FAA Form 8110-2 (06/20) SUPERSEDES PREVIOUS EDITION Page 1 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate This certificate issued to:
Part of .
SR09917AC AMS Heli Design, LLC 164 Gosnell St./North Texas Regional Airport Denison, TX 75020 H7EU Description of Type Design Change:
Leonardo S.p.a.
A109S and AW109SP Limitations and Conditions:
October 26, 2020 Jim Grigg Manager, Fort Worth ACO Branch Compliance & Airworthiness Division Aircraft Certification Service Date Reissued: Date of Application: July 15, 2019 Type Certification Basis: Continued on page 3 of 3 Number:
October 28, 2020
FAA Form 8110-2 (06/20) SUPERSEDES PREVIOUS EDITION Page 2 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate
Transfer Endorsement Transfer the ownership of Supplemental Type Certificate Number: SR09917AC To (Name and address of transferee):
FAA Form 8110-2 (06/20) Page ___ of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: SR09917AC
ADs that name this STC · 0
An AD can apply because an STC is installed, or mention one in its text.