Appendix 1 — EASA Form 157

Commission Implementing Regulation (EU) 2020/469

 

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

Limitations24 As prescribed by the competent authority.

Air traffic services (ATS)25 ATS covers alerting service.

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

 

Conditions26 Where necessary.

 

Services/Functions

Type of Service/Function

Scope of Service/Function

Limitations1

Air traffic services (ATS) for flight test2,27 If the competent authority considers it necessary to establish additional requirements.

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

Limitations28 As prescribed by the competent authority.

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

 

Conditions29 Where necessary.

 

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

Limitations30 As prescribed by the competent authority.

Meteorological services (MET)

MET

Meteorological watch office

 

Aerodrome meteorological offices

 

Aeronautical meteorological stations

 

VAAC

 

WAFC

 

TCAC

 

Conditions31 Where necessary.

3 Design, documentation and validation of flight procedures includes maintenance and periodic review activities.

 

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