| LCA CASE NUMBER | I-200-20156-627108 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-04 |
| DECISION DATE | 2020-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Duck Creek Architect |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-01 |
| END DATE | 2023-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pacific Specialty Insurance Company |
| EMPLOYER ADDRESS1 | 2200 Geng Road |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16572214889 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Tarney |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Manager, Human Resources |
| EMPLOYER POC ADDRESS1 | 5515 East La Palma |
| EMPLOYER POC ADDRESS2 | Suite 150 |
| EMPLOYER POC CITY | Anaheim |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92807 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16572214889 |
| EMPLOYER POC EMAIL | starney@pacificspecialty.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | CAMPANARO |
| AGENT ATTORNEY FIRST NAME | Jocelyn |
| AGENT ATTORNEY ADDRESS1 | 1801 CALIFORNIA STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 2700 |
| AGENT ATTORNEY CITY | DENVER |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13032183650.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jcampanaro@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | FISHER & PHILLIPS LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5515 East La Palma Avenue |
| LCA CASE WORKLOC1 CITY | Anaheim |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92807 |
| LCA CASE WAGE RATE FROM | 155000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 135886.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Geremes |
| PREPARER FIRST NAME | Zuzana |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | zgeremes@fisherphillips.com |
