| LCA CASE NUMBER | I-200-20168-657118 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2020-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ACCOUNTANT |
| SOC CODE | 13-2011.00 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-10-01 |
| 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 | PACIFIC HORIZON INSURANCE SERVICES, INC |
| EMPLOYER ADDRESS1 | 1600 HARBOR BAY PARKWAY |
| EMPLOYER ADDRESS2 | SUITE 130 |
| EMPLOYER CITY | Alameda |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15109958033 |
| NAICS CODE | 5242 |
| EMPLOYER POC LAST NAME | DUMAS |
| EMPLOYER POC FIRST NAME | J. |
| EMPLOYER POC MIDDLE NAME | GREGORY |
| EMPLOYER POC JOB TITLE | PRESIDENT / CEO |
| EMPLOYER POC ADDRESS1 | 1600 HARBOR BAY PARKWAY |
| EMPLOYER POC ADDRESS2 | SUITE 130 |
| EMPLOYER POC CITY | Alameda |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15109958033 |
| EMPLOYER POC EMAIL | GDUMAS@PACIFICHORIZONINS.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Radtke |
| AGENT ATTORNEY FIRST NAME | Stanley |
| AGENT ATTORNEY MIDDLE NAME | Dale |
| AGENT ATTORNEY ADDRESS1 | 2450 Washington Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. 170 |
| AGENT ATTORNEY CITY | San Leandro |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94577 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15108638058.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sradtke@miralawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Mira Law Group, APC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1600 Harbor Bay Parkway |
| WORKSITE ADDRESS2 | Ste. 130 |
| LCA CASE WORKLOC1 CITY | Alameda |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94502 |
| LCA CASE WAGE RATE FROM | 72000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63690.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Radtke |
| PREPARER FIRST NAME | Stanley |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Mira Law Group, APC |
| PREPARER EMAIL | sradtke@miralawgroup.com |
