‘United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: SROOO2EDE ‘Tis certificate, issued to: Peregrine 7385 S. Peoria St Unit C4 Englewood, Colorado 80112 certifies that the change in the type design for the following product wif the limitations and conditions therefore as specified fereon meets the airworthiness requirements of @art_29* of the Federal Aviation Regulations, *See Page 3 Original Product - Type Certificate Number: Make: ‘See Approved Model List (AML) ‘SRO0S25DE for approved rotorcraft models and applicable airworthiness regulations, Multiple-AML STC. Model: Description of Type Design Change: Installation of Garmin GTX 335/335R and GTX345/S45R transponders to provide ADS-B Out and in functionality in accordance with Master Drawing List, Peregrine Document Number E-AM-17-0002, Revision E dated 11/16/2018, or later FAA approved revision; Peregrine Rotorcraft Flight Manual Supplement (RFMS) E- ‘AM-17-0009, Revision IR dated 6/18/18 or later FAA approved revision; Peregrine Instructions for Continued Airworthiness (ICA) E-AM-17-0008, Revision IR dated 9113/18 or later FAA accepted revision. Limitations and Conditions: 1. The installer must determine whether this design change is compatible with previously approved modifications. 2. Ifthe 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. 3. Accopy of this certificate, the approved RFMS and approved ICA must be maintained as part of the permanent records for the modified rotorcraft ‘This certificate and the supporting data which is the Basis for approval shall remain in effect until surrendered, suspended, and revoked, or a termination date is otherwise established By the Adwinistrator of te Federal Aviation Adininistration. Date of Application: January 19, 2018 Date Reissued Date of Issuance: December 26, 2018 Date Amended: By Direction of the Administrator Tite Michael R. Giambrocco, ODA administrator Air Methods Corporation, ODA-635641-NM Tay atc hs caifeates punahata by ae cra exceeding 31,00, or praohmint nol eceeding years, o bath Ts ceils may be {fareforod 9 ade aalable to ite persone ty lesnaing aresmentsn accordance win 4 C=R.21 7 Postoxs of hs Suppemertal Type Cerieate (STC) document by perore ote han the STC hale” cose tears rigrs tthe design daa nero aller an ara, aera ohne oF propel. The STC's supprtng documentation (ravings, nstuctons,specfialins fight manval supplements, et) i the poperty of he STC ager. An STC nalderaho sows a parson tose the STC to ale an a, alert eng. or ropeler rust prose bat person mit wien amision accepable te FAA. (Ret 14 CER 71.120 FRAFom 8110-2 (6/16) Page tof 8‘United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate INSTRUCTIONS: The transfer endorsement below may be used to notify the appropriate PAA Aircraft Certifcation Office ofthe transfer of this Supplemental Type Cerificate, The FAA wil sue the crificae in the name ofthe transferee and forward itt him. ‘Transfer Endorsement “Transfer te ownership of Supplemental Type Cerificate Number, SROOSZSDE ‘To (Name and address of transferee) From (Name and address of grantor) Extent of Authority (if licensing agreement a a oe ee Signature of grantor “ay aeraton Ts reals pas By afro of not excanaing $000, or rpreanmnl ol wxseeag 3 years, bath. Tha centie Way Be {fersfored ade avasabe lo hie person by lansing agreements n accordance wth 14 CFR 2% 47. Posseaton ofa SupplamanalTYpa Cerifeate (STC) sient by persors ote an the ST hale” does rt conse rights fo he des ca oro ai an aeat alrafengine, propalr, Tne S1C's svoporeng documentation (arawigs,nstucson,spectetone fight manual swieerts ei the propery othe STC Felder. An STC reldor who slows a person toute the STC waar an ara, arerat engine & proper must row hat pe'son wih writen Dermiosen sccetable othe FAA (Ral 14 CFR 21.120, FRA Fem 8110-2 (8/14) Page 20rUnited States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) ‘Number: SROO92EDE 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 this change is as follows: 2. The type certification basis for parts not changed or not affected by the change is shown on the attached AML. . The certification basis for parts changed or affected by this change since the reference date of application, January 19, 2018 is based upon Part 29 as amended by Amendment 29-56 at the latest, ‘amendment: Original through 29-56. -END--- “Ry aera o is cae punahabi bya to ore exoeedng $1 000, of mpraoanaAt Tek casa T ‘anclroa ot mage avaiable othr porone by Yeansing agreomerts in aecorcarce wb 14 CFR 2147 Poseecsion otha Supplemental Type Ceraeate (STO) document by persons ote: fan the STC hole” coe nt consti the design daa nor oa a ara, ra enn, of propeler. The STC's supportng documentation (awings,istecons,speciatons, gh manus! supplement, ets) ste propery of ie STC ower An STC hacer who alone aperson to use the STC to ater an aera, tera engre. cr propel must proud ha peso wi witan Dermason sczepable otha FAA. (at 14 CER 24120 FRA Fo 8110-2 (514) Page Sot 8 SFE Te TS HayeApproved Model List (AML) for Automatic Dependent Surveillance — Broadcast (ADS-B) Out & In System using the Garmin GTX 3X5 Transponder and a Qualified Position Source STC No. SR00925DE FAA Approved: See Revision Log Todd Dixon, Manager Denver ACO Branch Revision A: May 31, 2019FAA APPROVED MODEL LIST For Garmin GTX 3X5 ADS-B Out & In System Airworthiness Approval STC No. SRO0925DE 1. Revision Log Revision | Pages | Deseription FAA Approval Date | "| ALL. | Initial Release fa) coe Original Issue ‘s/Michael R. Giambrocco Dec 26, 2018 ODA Administrator ODA-635841-NM Air Methods Corporation Date: Dec 26, 2018 7 asta = a | a May 31, 2019 et lay 31, MDL Revision. AFMS did 4 ase Mafegor not change from Rev IR of| penyer ACO Branch this document. Compliance and Airworthiness Division 7 | Corrected § 29.773 amendment number. Revision A: May 31, 2019 Federal Aviation Administration Date: fallFAA APPROVED MODEL LIST For Garmin GTX 3X5 ADS-B Out & In System Airworthiness Approval STC No. SROO925DE 2. Introduction This document is the Federal Aviation Administration (FAA) Approved Model List (AML) for Supplemental Type Certificate (STC) Number SR00925DE, for installing Automatic Dependent Surveillance — Broadcast (ADS-B) Out System (with optional ADS-B In functionality) using the Garmin GTX 335R and GTX 345R Transponders plus a qualified Global Position System (GPS) with Wide Area Augmentation System (WAAS) into eligible Part 29 rotorcraft. Qualified ADS-B equipage is listed in Section 4, and approved models are listed in Section 5. This AML is only applicable to the 14 CFR, Part 29 iotoreraft listed in Section 5. Installations in 14 CFR Part 23, Part 25, and Part 27 aircraft are not authorized under this AML. Revisions to the AML must be coordinated between the STC holder and the responsible Aircraft Certification Office (ACO) and require FAA approval. 2.1. Prerequisites This AML installs assumes the following equipment is already installed on each rotorcraft eligible for this proposed modification. The equipment must be properly linked to meet the intended function for the system, as certified under this AML approval. 1, Transponder system, including i. Standalone transponder, and, ii, Technical Standard Order (TSO) Approved transponder antenna which meets the requirements of TSO-C66, TSO-C112, TSO-C74, 2. ATSO C88 digital altitude encoder. Revision A: May 31, 2019 Page 42.2. FAA APPROVED MODEL LIST For Garmin GTX 3X5 ADS-B Out & In System Airworthiness Approval STC No. SRO0925DE Specific Limitations ‘The following limitations apply to this AML STC: 1 The Garmin GTX 3X5/3XSR transponder(s) must be replacing existing transponder(s) on a one for one basis. No new transponder installations are allowed. Installation of the following equipment is outside the scope of this AML STC. i, GTX 3X5/3XSR transponder antenna(s), ii, New or replacement GPS antenna, iii, Digital Barometric Altitude source. This AML STC does NOT allow or provide instructions for installation on rotorcraft equipped with Traffic Collision Avoidance System (TCAS) II, ADS-B In data is for situational awareness only if ADS-B data is displayed on an onboard display, as defined by these instructions, or on a Portable Electronic Device (PED). Use of the wireless equipment is subject to 14 CFR § 91.21, 121.306, 125.204 and 135.144 regulations (where applicable). This AML STC does NOT allow or provide instructions for Enhanced Surveillance Mode functionality. Use of transponder formats other than those identified within the STC Master Drawing List is not allowed. 3. Certification Basis ‘The certification basis for each qualified model found in Section 5 is specified in the type certificate data sheet (TCDS) and modified by the amendment levels noted in APPENDIX A, Revision A: May 31, 2019 Page 2FAA APPROVED MODEL LIST For Garmin GTX 3X6 ADS-B Out & In System Airworthiness Approval STC No. SR00925DE 4, Equipage Approved equipment pairing for the models listed in this AML is identified in Table 1 Table 1 Approved Transponder/GPS Pair Configuration “Transponder Position Souree ‘Transponder Control Number (Position, Model, and Part Number) = ___(See Note 4). Z| Transponder External GNS 8 Het GTX 345 (011-03302-00) (See Table 2) See ‘Transponder Extemal GIN Series ve GTX 345 (011-03302-00) (Gee Table 3) eee Transpon He ‘GTX 345 (011-03302-40) ares ane “Transponder Position #1 oA GTX 345 (011-03302-00) | External GNS Series fanaa ‘Transponder Position #2 | (See Table 2) GTx335 GTX 335 (011-03300-00) i Transponder Position #1 GTX 345 (011-03302-00) | Extemal GTN Series fama 28 Le a | Transponder Position #2 (See Table 3) pa | GTX 335 (011-03300-00) | : GTX 345 (011-03302-40) OTX 345 baa eer ta Internal ce nsponder Position 7 GTX 335 (011-03300-40) Sree ‘Transponder Position #1 GTX 345R (011-03303-00) | External GNS Series sa FS ® 4 | Transponder Position #2 (See Table 2) cecal _ GTX 335R (011-03301-00) | : “Transponder Position #1 aa GTX 345R (011-03303-00) | External GTN Series eens ‘Transponder Position #2 (See Table 3) Bede GTX 335R (011-03501-00) ‘Transponder Position #1 3c GTX 345R (011-03303-40 Internal Gables G7614 “Transponder Position #2 GTX 335R (011-03301-40) "The GIX Series equipment listed must be running Main System sofware version 2.02 or later, ADS-B System software version 2.01, and GPS software version 6.0 or later, Revision A: May 31, 2019 Page 3FAA APPROVED MODEL LIST For Garmin GTX 3X5 ADS-B Out & In System Airworthiness Approval STC No. SRO0925DE Table 2: Qualified Garmin GNS Series GPS/WAAS Position Sources Model Number Part Number" | Description ‘GNS 400 ‘f1-010604_) °SIWAAS, VHF CO} VOR, & VHF NAV. (GNS 430AW Tor tor0e ‘GPSAVAAS, VHF COW (16W) & VOR, & VHF NAV GPS: (011-01062-(_) | GPSAVAAS Tunctlonaity only Jj [CGPS S00 TAWS— 7) -GPSIWAAS wit Tein Awareness & Waring Sai “GNS 5300 CHF-01064-(")_ GPSMAAS, VHE COM ({0W) & VOR, & VHF NAV GNS 530 TANS (41-01086-(_) | GPS/WAAS, VHF COM (10W) & VOR, & VHF NAV Wi Terrain Awateness & Warning System “ENS SS0AW. ‘OHF-DIGEEL || GPSMWAAS, VHF COW (10W) & VOR. & VHF NAY 1 GNS S30AW TANS ‘011-01067,() | GPSMVAAS, VHF COM (16W) & VOR. & VHF NAV wih Terrain Awareness & Waring System | "(Main GNS sofware version 5.30 or above and GPS software version 5.0 or above are required) Table 3: Qualified Garmin GTN Series GPS/WAAS Position Sources Model Number | Part Number* [ines GIN635 (GPSIWAAS, VHF COM (16W) omy (GPSIWAAS, VHF Com (16) ,& VF NAV & LOOKS GIN Ds (GPSPWAAS fuaitionaiy on GIN750 011-0226)” GPSIWAAS, VHF COM (16) & VHF WAV & LOCKS *(Main GIN software version 6.11 or above and GPS software version 3.00 or above are required) Revision A: May 31, 2019 Page 4gebeg 6L0Z ‘Le AeW “y uoIsined, Tear PRGA = | : ponaidde vw T T | ‘eva foro | ] er wa, I “S10Z/E1/6 Paton “aT ¥ oo sao Lavo. 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As determined by the Type Certificate Data Sheet (TCDS) of the aircraft for parts not changed or not affected by this STC. b. Regulations at the amendment levels listed in Table 1 below for parts changed or affected by the STC since the reference date of application, January 2018, Table 4: Certification Basis Including Amendments ‘Regulations ‘Amat. | [Regulations Amdt, $2930 29-0 | [$2977 29-0 $2908, 20 | [sasB@@ 29-23 §29.305(0) BO | SD DI@ODOe 29-0 §29307@), 29-30 | | §29.1309 ONO DAG UO) | 29-53 §29.337@) 29-30 | | §29.1316(b) 29-53, ‘$2934 250 | [§29.1317@ 2949 $2947 29-0 | [829.1321@0@) 29-21 $29,561 @G) 29-38 | | §29.1322 29-12 $29.601(@) 25-0 | | §29.1351@) 29-42 $29,608, 28-17 | [§29.1353@e) 29-15 $29.605(@) 25-17 | [§29.1357 OOOO. 29-24 §29.6071@) 29-5_| [s29.1359@e) 29-42 $29.60), 29-0 | [§29.1381 29-0 §29.610, 29-53 | [$29.43 29-0 SDSS) 25.0 | [§29.1501 29-15 $29.13, 29.30 | [$29.1529 29-20 29.6190) 29-0 | [$29,154 23-0 §29.625(@\6) 9-42 | | §29.155500) 29:24 §29.671(@) 2924 | [$29.1581 I~ 39-15 §29.71(@) 2924 | [$29.58 29-24 §29.773@) 29-56 | [§29.1585@) 29-24 Revision A: May 31, 2019 Page 7