| LCA CASE NUMBER | I-200-19295-101529 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-22 |
| DECISION DATE | 2020-11-09 |
| ORIGINAL CERT DATE | 2019-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR ACTUARIAL ANALYST |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-04-03 |
| END DATE | 2023-04-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | National Union Fire Insurance Company of Pittsburgh, Pa. |
| EMPLOYER ADDRESS1 | 175 Water Street |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12124589146 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | GOLDNER |
| EMPLOYER POC FIRST NAME | LISA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES MANAGER |
| EMPLOYER POC ADDRESS 1 | 175 WATER STREET |
| EMPLOYER POC CITY | NEW YORK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12124589146 |
| EMPLOYER POC EMAIL | LISA.GOLDNER@AIG.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HENNER |
| AGENT ATTORNEY FIRST NAME | JANET |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | HTHISTLETHWAITE@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN AND LOEWY, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 175 WATER STREET |
| LCA CASE WORKLOC1 CITY | NEW YORK |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10038 |
| LCA CASE WAGE RATE FROM | 120400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 115669 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | LOPEZ |
| PREPARER FIRST NAME | IRIS |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN AND LOEWY, LLP |
| PREPARER EMAIL | ILOPEZ@FRAGOMEN.COM |
