| LCA CASE NUMBER | I-200-21008-002679 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-08 |
| DECISION DATE | 2021-01-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Development Engineer in Test |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-24 |
| END DATE | 2024-01-23 |
| 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 | Hiscox Inc. |
| EMPLOYER ADDRESS1 | 520 Madison Avenue |
| EMPLOYER ADDRESS2 | 32nd Floor |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10022 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16464522372 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | HSU-YANG |
| EMPLOYER POC FIRST NAME | YEUH |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS 1 | 520 Madison Avenue |
| EMPLOYER POC ADDRESS 2 | 32nd Floor |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10022 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16464522372 |
| EMPLOYER POC EMAIL | annie.yang@hiscox.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DeCurtis |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY MIDDLE NAME | P. |
| 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 | ddecurtis@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 | 5 Concourse Parkway |
| WORKSITE ADDRESS2 | Suite 2150 |
| LCA CASE WORKLOC1 CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30328 |
| LCA CASE WAGE RATE FROM | 111540 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103501 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | DALIDA |
| PREPARER FIRST NAME | LYANNE |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY LLP |
| PREPARER EMAIL | LYANNEDALIDA@FRAGOMEN.COM |
