EFTA01261493.pdf

rn.Pipponi COO No. 2110001,04/1 141/2611 Application for Export Export Certificate No. ill Certificate of Airworthiness ............... Est 3 7_5(ge redonl Adak. Ailsoints. INSTRUCTIONS - This application is to be submitted to an authorized FM representative (one copy) when the aircraft to be exported is (are) presented for inspection. This application may be used, but is not required. for aircraft engines, propellers, and articles. Use Part I for products and Part II for articles. For complete aircraft, execute items 1 through 11, as applicable. For engines and propellers, omit item 5A. Part III is for FM use only. Part I - Application for Export Certificate of NrworthIness (Complete Mims 1.11) 1. Application is made n export certificate hiness to cover the product(s) described below which (are): NEW USED 2. Name and address of exporter 3 Name and address of foreign purchaser 4. Country of destination Summit Aviation, Inc. Greenwich Aerogroup Brazil Leasing Inc Brazil 4200 Summit Bridge RD 4200 Summit Bridge RD Middletown, DE 19709-9340 Middletown, DE 19709-9340 5. Description of products) Type Make and Model Identification Serial Nos. FAA T.C. Operating time (Hours) (a) (b) No. (c) or Spec. No. (e) Transport (d) Since Tout Helicopter Overhaul 49c4. A. AIRCRAFT Sikorsky S-76C N162AD 760472 Hi NE 1.3 03 Turbomeca Arriel P/N #1 eng: 20040 E00054EN #1:09g7 51.94.: B. ENGINES 2S1 02920053 #2 eng: 20533TEC #2:2368.3 zma. 10 3 N/A N/A N/A N/A N/A N/A C. PROPELLERS 8. Does the product comply with all applicable Federal Aviation Regulations. Airworthiness Directives, and other FAA requirements? I YES NO (Explain In "Remarks" 7. Nave ay.e.abliti special rWents of the importing country been complied with? LJYES 11. 1.-INO (ExplainIn "Remarks") 8. Date title passed or is expected to pass to foreign purchaser: 10-Apr-2013 9. For overseas shipment, preservation and packaging methods used to protect product(s) against corrosion and damage (List Spec. No. or Tiffin: Effective duration of above methods: N/A 10. Remarks Reference attached ANAC Letter - Document No. Of.50/2013/GGAC/SAR-ANAC, dated 05 April 2013. Reference attached Summit Aviation, Inc. Exceptions Document SIKORSKY S-76C, SIN 760472, dated 8-April-2013. 11. EXPORTER'S CERTIFICATION — The undersigned certifies that the above statements are true and that the product(s) described herein is (are) airworthy and in a condition for operation except as may be noted under item 10 'Remarks' above. Signature of applicant or authorized represe TT Title Date Edward J. ScullyS o n, VP Summit Aviation, Inc. 08-APR-2013 M1yr Ml SDNY_GM_02754682 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241604 EFTA01261493  SDNY_GM02754683 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241605 EFTA01261494  Pan li - Application for Approval of *Marrs (Complete Items 12-20) 12. Name and address of exporter 13 Name and address of foreign purchaser 14. Country of destination Make and model of product FAA Spec. No or T.C. 15. Articles are eligible for installation on 16 The articles are (Check One) Ear USED 17. ribq articles are described (Check One) Invacingroaclung sheet No l_lBelow by name, part number and quantity On the attached invoce or packing sheet by name. pan number and quantity Name Part number Quantity (a) (b) (C) 18. Have applicable special requirements of the importing country been complied with? YES ❑NO (Explain In item 10 "Remarks" 19 Preservation and packaging methods used to protect articles against corrosion and damage (List Spec. No. or TWO: Effective duration of above methods: 20. Exporters Certification - I certify that the foregoing statements are true and that the articles described herein are airworthy, conform to FAA approved design data. are in a condition for sale operation except as may be noted in item 10 'Remarks'. Signature of applicant or authorized representative Tide Date Part al - Approval (FOR FAA USE ONLY) 21. It is considered that the products) and articles described in Part I or Part II is (are) airworthy and conform a) to pertinent requirements except as noted in Item 10 Check One) Signature Number Oate • 7 Part i ri Part u Sazgreei 'Da Tee -sof ni...Zei A (Check one) * ODA WAR 1 I DAR FAA In actor 22. Give quantity of approval tags, FAA From 8130-3, issued for the articles described in Part Quantity II.--* N/A 23. EXPORT FILE SPOT-CHECKED BY: FAJc -Get4r;is ;_ l i3kc6lr o D.O. No. Oate„ -Arafk-P'SDO- 31 LAY) \O WILICC41 4 _. _.._........_. /AA PwelYl Porton SDNY_Gtvl_02754684 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00241606 EFTA01261495  SDNY_GM_027541385 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00241607 EFTA01261496  The United States of America No. £437518 Department of Transportation Federal Aviation Administration Washington, D.C. Export Certificate of Airworthiness This certifies that the product identified below and particularly described in Specification(s)1 of the Federal Aviation Administration, Numbered HINE; E00054EN has been examined as of the date of this certificate is considered airworthy in accordance with a comprehensive and detailed airworthiness code of the United States Government, and is in compliance with those special requirements of the importing country filed with the United States Government, except as noted below. The certificate in no way attests to compliance with any agreements or contracts between the vendor and purchaser, nor does it constitute authority to operate an aircraft. Product: Aircraft Total Time: 6906.8 Engine Manufacturer: Sikorsky Turbomeca S.A. Model: Arriel 2S1 Model: S-76C PI Serial No. 20040 Total Time: 5695.7 Hrs, TSO 5695.7 02 Serial No. 20533TEC Total Time: 2368.3 Hrs, TSO 2368.3 Serial No: 760472 New: Used: x Country to which exported: Brazil Exceptions: Reference Attachment dated 8 April 2013 listing exceptions and ANAC Exception acceptance letter 01.50/2013/CGAUSAR-ANAC dated 5 April 2013 Additional Information: The rotorcraft covered by this certificate has been examined and found to be in conformity with the Brazilian approved type design as defined by the Brazilian Type Cenificate No. 7906 and is in condition of safe operation. Sec Reverse side for listing of Supplemental Type Certificates (Sits) installed. Coyne Signature of Authorized Representative 8 April 2013 DART-801097-EA Date District Office or Designee Number 1 Forcomplete aircraft. AM applicable specification or type certificate data sheet for the aircraft. engine. and propeber. Applicable specification or type certificate data sheet, Knot attached to this export cettificare, ad have been fonyarded to the appropriate governmentalPike of the imparting country. FAA Fore 61304 (04-2011) Supersedes Previous Edition SDNY_GM_02754686 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241608 EFTA01261497  Export Certificate of Airworthiness E437518 Continued from front: Supplemental Type Certificates (Sits) Installed SR09355RC - Aero Seats and Systems, Inc. - 12 Place Passenger Seats - CHST No. 2008506-01 SR09211RC - Aero Seats and Systems, Inc. • External Mount Life Raft Deployment System - CHST No. 2004512-07 SR02822NY • Heli-One • Automatic Deployable ELT System - CHST No. 2009508-15 5R02603NY-D - Sikorsky Global Helicopters, Inc. - CVFDR-145 Cockpit Voice/Flight Recorder - CHST No. 2013501-06 SR01405NY • D & D Design, Inc. - Installation of Honeywell MK-XXll EGPWS - CHST No. 2011509-03 SR01616SE - FDC/Aerofiker WA LP - Engine Filter system with Wiring Modification per FAA DER approved Data SH5778SW -Meggitt (Addison), Inc. - Electrically Driven Vapor Cycle Air Conditioning system-CHST No. 2009507-09 SR00811NY - Technisonic Industries Limited - Installation of TFM-138B - CHST No. 2009511-07 5R01593NY-D - Sikorsky Global Helicopters, Inc. - Installation of Keystone Helicopter Utility Interior Panels - CHST No. 2003511-05 SR01113NY-D — Keystone Helicopter — S-76 Door Pin Kit — CHST No. 2009S09-06 SR01472NY — Eaton Aerospace — Zapper Pulsed Engine Chip Detector System 1K7707- CHST No. 2010505-06 5H241450 — Sikorsky - Installation of the Honeywell SRZ-850 Integrated Radio System. SH2413S0 — Sikorsky - Installation of the Honeywell AV-850 Digital Audio System. SH2361S0 — Sikorsky - Installation of a fixed landing light. SH2360S0 — Sikorsky - Installation of a search light switch on collective stick. 5H235850 — Sikorsky - Installation of gearbox inspection lights. SH235750 - Sikorsky - Installation of a power monitor panel (INSCO). 541236250 —Sikorsky - Installation of a dual static inverter AC power system. 541243050 — Sikorsky - Installation of a Precise Flight Pulselite System. 541243150 — Sikorsky - Installation of Recognition Lights. 541257050 — Sikorsky - Installation of an external power overvoltage monitor. 541290050 - Sikorsky - Installation of a Honeywell P-700 radar system. 5H294250 — Sikorsky • Installation of a Honeywell SPZ-760 digital automatic flight control system. SR00666AT —Sikorsky - Installation of a LITF dual LCR-925 attitude heading reference system (AHRS). SR00432AT — Sikorsky - Installation of a Honeywell EDZ-7565x6 Electronic Flight Instrument System (EFTS). SR00490AT — Sikorsky - Installation and operation of a Bendix CAS-66A traffic collision avoidance system TCAS). SR00531AT — Sikorsky - Installation of a lower anti-collision light. SR00508AT — Sikorsky - Installation of a Shadin 8800 ADC accessory unit. SR00902AT — Sikorsky - Installation of a Standby JET ADI.335D attitude indicator. SR00877AT-D— Sikorsky - Installation and operation of a Honeywell AA-300 radio altimeter system. 5R010118AT-D — Sikorsky - installation of a Universal Avionics UNS-1D flight management system. SR01407AT —Sikorsky - Installation and operation of a Baker M7950 Page/Chime Amplifier System. END SDNY_GM_02754687 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241609 EFTA01261498  ATTACHMENT TO EXPORT CERTIFICATE OF AIRWORTHINESS E437518 DATE: 8 APRIL 2013 LISTING OF EXCEPTIONS: UNS-1D System (Sikorsky STC SR01088AT-D) with software level SCN 601.X was modified to software level SCN 604. (FAA Form 337, dated 29-Mar-2001 and FAA Field Approval. The RFMS was approved by the New York Aircraft Certification Office). AeroFDC WA LP - STC SR01616SE — Installation of an engine air filter system. (ANAC validated by project number H.02-2619-0 and CHST 2007503-08 was issued). STC SR01616SE is approved & validated for S-76C helicopters with IIDS. This rotorcraft does not have LIDS, but has a Master Caution Annunciator System installed. The STC Holder, AeroFDC WA LP, has provided electrical drawing FDC/aerofilter "KIT, Wiring Modification — IBF System For 5-76C+ W/O IIDS", No. 1076K15 , wiring for the Master Caution, and Rotorcraft Flight Manual Supplement (RFMS) "Sikorsky 5-76C+ Helicopters (S-76C Helicopter Powered by Turbomeca Arriel 251Engines) NOT Equipped With !IDS". Doc. No. 1076-1200-102, which was not approved under the STC. Both the electrical drawing and the RFMS are FAA DER Approved on FAA Form 8110-3 and on the FAA Form 337 when the installation has been completed. The following major alterations were installed per an STC and do not have ANAC validation; however, the basis for the FM SIC is Transport Canada's STC: 1. Heli-One SIC SR02822NY — Installation of the CPI.503 Automatic Deployable ELT. (Basis for STC is Transport Canada STC SHOE- S8 is ANAC validated by project number H.02-3080-0 and ANAC CHST 2009508-15 was issued). 2. Technisonic Industries Limited SIC SR00811NY - TIL Engineering - VHF Marine Radio. (Basis for STC is Transport Canada SIC SH94-10 is ANAC validated by project number H.02.3220.0 and ANAC CHST 2009511.07 was issued). The following major alterations were installed via an SIC and do not have ANAC validation per the special requirements. The STCs are manufacturer options, installed by Sikorsky during production and prior to the original Standard Airworthiness Certificate issuance. These systems have been incorporated into the Maintenance Manual and the IPC. Rotorcraft Flight Manual Supplements (RFMS) are incorporated in the Flight Manual as applicable. Additionally, all of the below listed Sikorsky STCs have been Installed for 6,906.8 hours, exceeding the referenced 6,000 hours, identified in Paragraph 5.6.1 of FM AC 21-21, Appendix 2, Federative Republic of Brazil — Special Requirements, dated August 2011. 1. Sikorsky STC 5H241450 — Installation of the Honeywell SRZ-850 Integrated Radio System. 2. Sikorsky STC 5112413SO — Installation of the Honeywell AV-850 Digital Audio System. 3. Sikorsky STC 511236150 — Installation of a fixed landing light. 4. Sikorsky STC SH236050 — Installation of a search light switch on collective stick. S. Sikorsky STC 511235850 — Installation of gearbox inspection lights. 6. Sikorsky STC SH235750 — Installation of a power monitor panel (INSCO). 7. Sikorsky STC 5H236250 — Installation of a dual static inverter AC power system. 8. Sikorsky STC 5H243050 — Installation of a Precise Flight Pulselite System. 9. Sikorsky STC SH2431S0 — Installation of Recognition Lights. 10. Sikorsky SIC 5H257050 — Installation of an external power overvoltage monitor. 11. Sikorsky STC SH2900S0 — Installation of a Honeywell P-700 radar system. 3 12. Sikorsky STC SH2942S0 — Installation of a Honeywell SPZ-760 digital automatic Right control system. 13. Sikorsky SIC SR00666AT — Installation of a UTF dual LCR-925 attitude heading reference system (AHRS). 14. Sikorsky STC SR00432AT — Installation of a Honeywell EDZ-7565x6 Electronic Flight Instrument System (EFIS). 15. Sikorsky STC SR00490AT — Installation and operation of a Bendix CAS-66A traffic collision avoidance system (TCAS). 16. Sikorsky STC SR00531AT — Installation of a lower anti-collision light. 17. Sikorsky STC SR00508AT — Installation of a Shadin 8800 ADC accessory unit. 18. Sikorsky SIC SR00902AT — Installation of a Standby JET ADI-335D attitude indicator. 19. Sikorsky STC SR00877AT-D — Installation and operation of a Honeywell AA-300 radio altimeter system. 20. Sikorsky STC SR1088AT — Installation of a Universal Avionics UNS-1D flight management system. 21. Sikorsky STC SR01407AT — Installation and operation of a Baker M7950 Page/Chime Amplifier System. END SDNY_GM_02754688 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024 16 10 EFTA01261499  SDNY_GM_02754689 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024 16 I I EFTA01261500  reANAC AGeNCIA NACIONAL OE AVIACAO CIVIL Of 50/2013/GGAC/SAR-ANAC Rio de Janeiro. 05 April 2013. Daryl K. Former Principal Maintenance Inspector FAA FSDO-17 2 International Plaza Suite 110 Philadelphia, PA 19113, USA Subject: Exceptions for Sikorsky S-76C S/N 760472. Ref.: 1- FAA letter dated 04 April 2013. Dear Mr. Former, We hereby inform that ANAC will accept the Export Certificate of Airworthiness for the Sikorsky S-76C, serial number 760472 rotorcraft with the following exceptions: a. UNS-ID System (Sikorsky STC SR01088AT-D) with software level SCN 601.X was modified to software level SCN 604.3 (predicated on FAA approved STC SA00876LA, dated 23-Nov-1999, for Raytheon Aircraft Company B-300 KingAir aircraft). (FAA Form 337, dated 29-Mar-2011 and FAA Field Approval. The RFMS was approved by the New York Aircraft Certification Office); b. LSZ-850 Lightning Sensor (Sikorsky STC SI-12416SO) Honeywell model sensor LP- 850. returned to manufacturer for modification & re-installed as Honeywell model sensor LP-860. (FAA Form 337, dated 23 Mar 1999, FAA Field Approval. The RFMS was approved by Boston Aircraft Certification Office); c. Keystone Helicopters-STC SR00919NY- Installed S76, Split Tail Rotor Gear Box Cover. Two piece Tail Rotor Cowling (FAA Form 337, dated 27-Dec-2001); d. STC SR01616SE is approved & validated for S-76C helicopters with 11DS. This rotorcraft does not have 'IDS, but has a Master Caution Annunciator System installed. The STC Holder, AeroFDC WA LP, has provided electrical drawing FDC/aerofilter "KIT, Wiring Modification — IBF System For S-76C+ W/O IIDS", No. 1076KI5, wiring for the Master Caution, and Rotorcraft Flight Manual Supplement (RFMS)"Sikorsky S-76C+ Helicopters (S-76C Helicopter Powered by Turbomeca Arriel 251 Engines) NOT Equipped With IUDS". Doc. No. 1076-1200- 102, which was not approved under the STC. Both the electrical drawing and the SDNY_GM_02754690 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241612 EFTA01261501  SDNY_GM_02754691 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241613 EFTA01261502  ANAC AGENCIA NACIONAL DE AYIACAO CIVIL RFMS will be FAA DER Approved on FAA Form 8110-3 and on the FAA Form 337 when the installation has been completed; e. Heli-One STC SR02822NV — Installation of the CPI-503 Automatic Deployable ELT (Basis for STC is Transport Canada STC SH08-58 is ANAC validated by project number H.02.3080.0 and ANAC CHST 2009508-15 was issued); f. Technisonic Industries Limited STC SR00811NY — T1L Engineering —VHF Marine Radio. (Basis for SIC is Transport Canada STC SH94-I 0 is ANAC validated by project number H.02-3220.0 and ANAC CHST 2009S1 1-07 was issued) ; Sikorsky STC SH24145O - Installation of the Honeywell SRZ-850 Integrated Radio System; h. Sikorsky STC 5112413SO - Installation of the Honeywell AV-850 Digital Audio System; i. Sikorsky STC SH2416SO — Installation of the Honeywell LSZ-850 Lightning Sensor System; j. Sikorsky STC SH23615O - Installation of a fixed landing light; k. Sikorsky STC 5112360SO — Installation of a search light switch on collective stick; I. Sikorsky STC SH2358SO — Installation of gearbox inspection lights; m. Sikorsky STC 5H23575O — Installation of a power monitor panel (INSCO); n. Sikorsky STC SI-12362SO — Installation of a dual static inverter AC power system; o. Sikorsky STC SH2430SO — Installation of a Precise Flight Pulselite System; p. Sikorsky STC SH243I SO - Installation of Recognition Lights; q. Sikorsky STC SH2570SO — Installation of an external power overvoltage monitor; r. Sikorsky STC SH2900SO — Installation of Honeywell P-700 radar system; s. Sikorsky STC 5H29425O - Installation of Honeywell SPZ-760 digital automatic flight control system; t. Sikorsky STC SR00666AT - Installation of a LITF dual LCR-92S attitude heading reference system (AHRS); u. Sikorsky STC SR00432AT — Installation of a Honeywell EDZ-7565x6 Electronic Flight Instrument System (EFIS); v. Sikorsky STC SR00490AT — Installation and operation of a Bendix CAS-66A traffic collision avoidance system (TCAS); •• Lunoniendtrciademn,avtgebIMAck Sins. As SDNY_GM_02754692 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241614 EFTA01261503  SDNY_GM_02754693 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241615 EFTA01261504  ANAC AGENCIA NACIONAL DE AVLACAO CIVIL w. Sikorsky STC SR00531AT — Installation of a lower anti-collision light; x. Sikorsky STC SR00508AT — Installation of a Shadin 8800 ADC accessory unit; y. Sikorsky STC SR00902AT - Installation of a Standby JET ADI-335D attitude indicator; 2. Sikorsky STC SR00877AT-D - Installation and operation of a Honeywell AA-300 radio altimeter system; aa. Sikorsky STC SR1088AT - Installation of a Universal Avionics UNS-ID flight management system; bb. Sikorsky STC SR01407AT - Installation and operation of a Baker M7950 Page/Chime Amplifier System. 2. The non conformities listed above are major alterations and will be eligible for acceptance by ANAC during the aircraft initial inspection, if they meet the criteria of IS 21.010A (httyliwww2.anac.Rov.br/bibliotecanS/IS%202 I -010A.odt), item 5.6. and MPR-900.04 (http://www2.anac.e.ov.bricertificacao/MPR/Textos/N4PR-900.04-004-P.pdf). 3. Please make reference to this letter on the Export Certificate of Airworthiness. Yours sincerely, • Eduaril Americo Campos Filho Manager, Continued Surveillance Coordination PROTOCOLO ANAC 00065.045227/2013.52 %line re Alm,. a• SDNY_GM_02754694 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241616 EFTA01261505  SDNY_GM_027.695 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241617 EFTA01261506  Greenwich AEROGROUP January 28, 2013 To Whom it May Concern This letter is to confirm that Edward J. Scully is a duty elected Vice president of Summit Aviation, Inc. and is authorized to execute and deliver in the name and on behalf of Greenwich AeroGroup Brazil Leasing, Inc. (the "Corporation") all documents and forms required by the Federal Aviation Administration in connection with the registration and deregistration of aircraft owned by the Corporation. erely, F. Kohler President & Secretary State of Connecticut County of Fairfield On this the 28th day of January, 2013, before me, Linda Appelbaum, the undersigned officer, personally appeared John F. Kohler, known to me to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. In witness whereof I hereunto set my hand. LINDA APPRIAUM Signature of 146tary Public ManPa Sam alOnioltut 31.2018 Date Commission Expires: ktiCamodstionEggsOman Greenwich AeroGroup, Inc. 975 Steamboat Rood www.areenwichaeroarouo.com Greenwich, Cr 06830 SDNY_GM_02754696 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002416 IS EFTA01261507  SDNY GM 02754697 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241619 EFTA01261508  V•11OVUMS00 11.001 DEPNITLEN1OF TRANSPORTATION-RODIN. AMIN AMItizSTRAION STANDARD AIRWORTHINESS CERTIFICATE ul reaehAV SAVACTO.000.1006. I KNOAII Walt I CATI ICA• NI62AD I Satorsky S-76C 760472 763660.24 • ovIriartrotMid 444..“ ._salve. erns • rerun ea 5: •POPIIttiNg rOISPitintillf••••••••1•00tte. ••••••••••.0.01•••• •••••••0••••• Cosise•I••••••”•• swan rasa me wee bases O i /01•1,A6COIWOrett • enn• eft • to non ain't= • now• holt 41 al 4i. tr. Ras seauroppe0n • •••••• _pot oii ee.....4 /Mon PI NA IALSCIATOO Walt 10/21/1997 .FS120-25 fin ......a........ Area.. nay ;)•••••••••••••••4anna viti:retili WS, IRMA= • nt • ccop.:t ...waintetiowroomurera *1.4 Pon n»!3. • MONS rm.. WAN SDNYSA4_02754698 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00241620 EFTA01261509  •(.26 iSScf6,1 ocV/G/20t I SUFI GM 02754699 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00241621 EFTA01261510  on( Downer Of AViATC*4 ACIMISTWON STANDARD AIRWORTHINESS CERTIFICATE • ••••••ankin II162AL I Pular. AWO•yeFOR 01.0.110.41/4004 .0.•••••••••••••••••• ON MGM/ fa ste.amil Saadi .**. &can ••• ••••••••••• Oa r•Wee••••••••••••••+re. 0•110, SWAG, CSSOIMOniallt• R-10-21-1997 EA 3 .nrwrowearseinst -It %tn. t* (4.01A • I 61, ACCONOMitt mt. *Main 1.Oy. - • es n's "swot+ Ava, c0,CGAAtONS FAA Fenn 610:1•2 04n SDNY_GM":0757707" F TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15 EFTA_00241622 EFTA01261511  SDNY_GAl_02754701 1TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15 EFTA 00241623 EFTA01261512  UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE I NATIONALITY AN D 2 MAHAFACTURERANO MODEL 3 AIRCRAFT SERIAL A CATEGORY REGISTRATION RAMS NUMBER N162AD Sikorsky S-76C 760472 Transport S AUTHORITY ARO BASS FOR ISSUANCE Pis smenNesu anima 'mei mesa • ti U SC VOW AU artin AA bdll dav cliparce.dy siva? /3 Ala mot Ns tan HAHool ib %c€ embn he two an hi tab. TT bi Meant' la us al Ton tow Arm inetaeloinutTli Oro pia* anpren:tirodesail "Ss tybalbN Cosorlocntreanstul0614166 acect as — rem 1.410000 NONE 6 TERMS AND COMYT.OHS Lau wow steam( fesitffit *en s Tantace600 remise WSW* TIN FAA. NT ~fees. Milks asnl knj is re antoura 6.36. AM argots n h KAMM .66 Pao 2I. al.al II d hirFAHTO atiSad Sus OATS OF ISSUANCE MOUTON MOUSER R-10/2111997 AEA-FSDO-25 MraWska. v.:awe.*nut.. al morn- OAS* Ty • sHadal Wew Rstiesi Te NOSS Stwna 346 mts CEA/SCAN MT BE DISGUYED tit ME WACCORSDICE M APFUCAHA FEDERAL AWASCII REGULATORS FM fin SIMI (04.11) Scant:eat Prevoa Edllon SDNY_GM_02754702 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241624 EFTA01261513  SDNY_GM02754703 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241625 EFTA01261514  DEPARTMENT OF TRANSPORTATION DATE: FEDERAL AVIATION ADMINISTRATION September 16, 2011 ROUTE SLIP TO: NAME ROUTING SYMBOL Aircraft Registry AFS-750 • ❑ Per your request ❑ For your information ❑ Per our conversation ❑ Note and return ❑ Discuss with me ❑ For your approval ❑ For your signature 0 Take appropriate action ❑ Comment ❑ Please answer ❑ Prepare reply for signature of REMARKS: Issued replacement airworthiness certificate for Sikorsky Model S-76C, S/N 760472, N I 62AD. Certificate issued due to Registration Number change from N162AE to N162AD accomplished 09/14/2011 per AC Form 8050-64 issued 08/17/2011. Attached are copy of replacement FAA Form 8100-2 dated R-10/21/1997 and original superseded Form FAA 8100-2 dated R-I0/21/1997. ROUTING SYMBOL AEA-FSDO-25 SDNY_GM_02754704 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241626 EFTA01261515  SDNY_GM_02754705 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024I627 EFTA01261516  IMITCOSTAWSOF Millerya TRATION N—FEDERAL AVIATION ADMINIS DEPARTMENT OF TRANSPORTATIO IFICATE STANDARD AIRWORTHINESS CERT • CATEGORY 000.31 SWUM MaTIOPIALITY ARO eitnr). FIGORTRAIXT4 BMWS A Vita 2 SIKOR `RANSP0RT N162AE AUTHOROYM40 6094 ton immat Oa IM /MO of Mora TM THeywoOnrimoil ihreka 6 be on twos*, lot WM malt I* rene• Woad and MOW amertHema COMM 00OraliOn.•04/Watean as IHOMad by Amer IV Emablant .t% NQ 6 lailMSAROCCROilsONS latis646 eV 136 AdnumityIor UnOSS SeOrei M and Orylari an polo/nod in ersOnNwnii tenoca 6,6r1: 46H6 Ltlwaya rafe.pnI.ednw Ualed riaMeamm OCCOrtteralisitsPans2I y Yaw DESIONATICW IMMOLP DAM OF PPINIPE P 'EA—TOO-61 R-10-21-1997 not Weed.' SI101c. unpmemnim Hareamelon03 tr.o• Hisysaogirmaen• ANLMFT IM 6O3O41O.Oia WITH APPLICABLE MEAN RHO alNralgn. rawodua BE CoSPCATIO IN Man 0.0011 litE CER114CAlt WET AVIATION REMOTIONS Y.S. arosool • 0044611 FM Form 8100-2 MCI VNITCO TTTTTT OF AMINRCA RAL AVIATION ADMINISTRATION DEPARTMENT OF TRANSPORTATION —FEDE STANDARD AIRWORTHINESS CERTIFICATE 3 RMISMI SCatat 4 CATT6OMV I. WATENUAITT I. MMof ACtUSCIt MID MOOCI. twitMR 6•4 NARKS •N152AE Sikorsky S76C 760472 ransport S. AUTHOMIT AM, /HMS ISM siSSIIANCE Me. Os N My l e Ndocel AyPsion AO el 1930 end wig.. einoolthinint wHifitere it isyMd pommel ie wer.icom loomed end bond se colony to the typo applicable dole of iis9oN. th• e;iroall le wIth lisped boo beesbet boo down la pro lti •••yopm sb N Me Mottles. to b. o comb Imn Ica woe otTembon, and by Abp. E to the Corpus M , Int.4441.9 41 Gni con.preboni... and aimmlod eimortkinass tecie at OPTION AsHatiya. wimp• os noted Immis loceries. None E. PI In WO CORP 1065 is ethemtior •nobliMed by IN Ad... ; T; TTT0, ..... I WHIR, seem. endoNd. staspipelod. rpobed. or o iltrairation dole my I the meintmenty. istvonlelim meinlononct end elIerobom 1 INs eirwoothloos, triiEspo ; i olloctly• en kw. as of IN Iodate, Ayierbio 17.1oboss. oi oporoymioio, end the patlenowill in octodemy HMI Pens V. 43, end 91 I PrinalI is noWsiwyd is IM POO Pesos. SiCal•II011MusleCII DATE Pt IMAM( 10-21-97 DAR NE200001AC • y bo 'thyblo by • by Nye ozysod49. II.000. 0. iw. Any yahHelien. memcbott6n. r inisys• el this 4 St BE DIOTATIO IN TNT AIIKRATT IN ACED'S. Prisoneoai nN 494voilkii 3 yaws. y• bet% I KAT . MKT WITH APPLICMItt IEDIRM AWATI (01./IATI FAA Fern 1100-2 ,7-47. FORM FAA FORM .36.3 9, 10, m2754706 SUBJECT TO PRO TEC TIVE ORD ER PARAGR APH S 7, 8, soNy_15,_0 and 17 EFTA_00241628 EFTA01261517  SDNY_GM_