| CERTIFICATE FOR SERVICE PROVIDER
EUROPEAN UNION
COMPETENT AUTHORITY
SERVICE PROVIDER CERTIFICATE
[CERTIFICATE NUMBER/ISSUE No]
Pursuant to Implementing Regulation (EU) 2017/373 and subject to the conditions specified below, the [competent authority] hereby certifies
[NAME OF THE SERVICE PROVIDER]
[ADDRESS OF THE SERVICE PROVIDER]
as a service provider with the privileges, as listed in the attached service provision conditions.
CONDITIONS:
This certificate is issued subject to the conditions and the scope of providing services and functions as listed in the attached service provision conditions.
This certificate is valid whilst the certified service provider remains in compliance with Implementing Regulation (EU) 2017/373 and the other applicable regulations and, when relevant, with the procedures in the service provider's documentation.
Subject to compliance with the foregoing conditions, this certificate shall remain valid unless the certificate has been surrendered, limited, suspended or revoked.
Date of issue:
Signed:
[Competent authority] |
|---|
EASA Form 157 Issue 1 — Page 1/4
| SERVICE PROVIDER
CERTIFICATE
SERVICE PROVISION CONDITIONS
Attachment to service provider's certificate:
[CERTIFICATE NUMBER/ISSUE No]
[NAME OF THE SERVICE PROVIDER]
has obtained the privileges to provide the following scope of services/functions:
(Delete lines as appropriate) |
|---|
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations |
| Air traffic services (ATS) | Air traffic control (ATC) | Area control service | |
| Approach control service | |
| Aerodrome control service | |
| Flight information service (FIS) | Aerodrome flight information service (AFIS) | |
| En-route flight information service
(En-route FIS) | |
| Advisory service | n/a | |
| Air traffic flow management (ATFM) | ATFM | Provision of the local ATFM | |
| Airspace management (ASM) | ASM | Provision of the local ASM (tactical/ASM Level 3) service | |
| Conditions | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations1 |
|---|
| Air traffic services (ATS) for flight test2, | Air traffic control (ATC) | Area control service | |
| Approach control service | |
| Aerodrome control service | |
| Flight information service (FIS) | Aerodrome flight information service (AFIS) | |
| En-route flight information service
(En-route FIS) | |
| Advisory service | n/a | |
| Conditions3 | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations |
|---|
| Communication, navigation or surveillance services (CNS) | Communications (C) | Aeronautical mobile service (air-ground communication) | |
| Aeronautical fixed service (ground-ground communications) | |
| Aeronautical mobile satellite service (AMSS) | |
| Navigation (N) | Provision of NDB signal in space | |
| Provision of VOR signal in space | |
| Provision of DME signal in space | |
| Provision of ILS signal in space | |
| Provision of MLS signal in space | |
| Provision of GNSS signal in space | |
| Surveillance (S) | Provision of data from primary surveillance (PS) | |
| Provision of data from secondary surveillance (SS) | |
| Provision of automatic dependent surveillance (ADS) Data | |
| Conditions | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations1 |
|---|
| Aeronautical information services (AIS) | Aeronautical information products (including distribution
services) | Aeronautical information publication (AIP) | |
| Aeronautical information circular (AIC) |
| NOTAM |
| AIP data set |
| Obstacle data sets |
| Aerodrome mapping data sets |
| Instrument flight procedure data
sets |
| Preflight information services | n/a | |
| Conditions2 | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations1 |
|---|
| Data services (DAT) | Type 1 | Provision of Type 1DAT authorises the supply of aeronautical databases in the following formats:
[list of the generic data formats]
Provision of Type 1 DAT does not authorise the supply of aeronautical databases directly to end-users/ aircraft operators. | |
| Type 2 | Provision of Type 2 DAT authorises the supply of aeronautical databases to end-users/aircraft operators for the following airborne application/ equipment, for which compatibility has been demonstrated:
[Manufacturer] Certified Application/ Equipment model [XXX], Part No [YYY] | |
| Conditions2 | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations |
|---|
| Meteorological services (MET) | MET | Meteorological watch office | |
| Aerodrome meteorological offices | |
| Aeronautical meteorological stations | |
| VAAC | |
| WAFC | |
| TCAC | |
| Conditions | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations1 |
|---|
| Flight procedure design (FPD) | Design, documentation and validation of flight procedures3 | n/a | |
| | | |
| |
| Conditions2 | |
| Services/Functions | Type of Service/Function | Scope of Service/Function | Limitations1 |
|---|
| ATM network functions | Design of ERN | n/a | |
| Scarce resources | Radio frequency | |
| Transponder code | |
| ATFM | Provision of the central ATFM | |
| Conditions2 | |
| Date of issue:
Signed: [Competent authority]
For the Member State/EASA |
EASA Form 157 Issue 1 — Page 4/4