| LCA CASE NUMBER | I-200-20356-972999 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-21 |
| DECISION DATE | 2020-12-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer |
| SOC CODE | 15-1199.02 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-28 |
| END DATE | 2023-12-27 |
| 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 | Amica Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 100 Amica Way |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18002426422 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Gordon |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | Recruiting Supervisor |
| EMPLOYER POC ADDRESS 1 | 100 Amica Way |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18002426422 |
| EMPLOYER POC EMAIL | kgordon@amica.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pretorius |
| AGENT ATTORNEY FIRST NAME | Hendrik |
| AGENT ATTORNEY MIDDLE NAME | Tjaart Jacobus |
| AGENT ATTORNEY ADDRESS1 | 35 Wessex Way |
| AGENT ATTORNEY CITY | San Carlos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94070 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16502501468 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@bridge.legal |
| LAWFIRM NAME BUSINESS NAME | ImmiPartner PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 25 Amica Way |
| LCA CASE WORKLOC1 CITY | Lincoln |
| WORKSITE COUNTY | LINCOLN |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2865 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 81786 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Huddleston |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Bridge |
| PREPARER EMAIL | sarah@bridge.legal |
