Certificate for U-space service provider referred to in Article 14(3)

LOGO EASA or NAA as applicable

CERTIFICATE FOR U-SPACE SERVICE PROVIDER [CERTIFICATE NUMBER/ISSUE No] Pursuant to Regulation (EU) …/…. (and to Regulation (EU) …/....) and subject to the conditions specified below, the [competent authority] hereby certifies [NAME OF THE U-SPACE SERVICE PROVIDER] [ADDRESS OF THE U-SPACE SERVICE PROVIDER] as a U-space service provider with the privileges, as listed in the attached service provision conditions. CONDITIONS: This certificate is limited to the conditions and the scope of providing services as listed in the attached service provision conditions. This certificate is valid whilst the certified U-space service provider remains in compliance with Regulation (EU) …/… and the other applicable regulations and, when relevant, with the procedures in the U-space service provider’s documentation as required by Regulation (EU) …/…, Part-…. Subject to compliance with the foregoing conditions, this certificate shall remain valid unless it has been surrendered, limited, suspended or revoked. Date of issue: Signed: [Competent authority]

U-SPACE SERVICE PROVISION CONDITIONS AND LIMITATIONS has obtained the privileges to provide the following U-space services under the following conditions and limitations: (Delete lines as appropriate)