| LCA CASE NUMBER | I-200-21028-039799 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-28 |
| DECISION DATE | 2021-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior SQL Developer |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-08 |
| END DATE | 2024-02-07 |
| 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 | Coverance Insurance Solutions, Inc. |
| EMPLOYER ADDRESS1 | 100 W Broadway |
| EMPLOYER ADDRESS2 | Suite 3000 |
| EMPLOYER CITY | Long Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90802 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18886642236 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Holmes |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC JOB TITLE | Director of Talent Acquisition |
| EMPLOYER POC ADDRESS 1 | 100 W Broadway |
| EMPLOYER POC ADDRESS 2 | Suite 3000 |
| EMPLOYER POC CITY | Long Beach |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90802 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18886642236 |
| EMPLOYER POC EMAIL | EHolmes@coveranceis.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bucceroni |
| AGENT ATTORNEY FIRST NAME | Mandi |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 5215 Wellington Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Ventnor |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8406 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16098224193 |
| AGENT ATTORNEY EMAIL ADDRESS | mbucceronilaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Mandi B. Bucceroni, LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | District Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 W Broadway |
| WORKSITE ADDRESS2 | Suite 3000 |
| LCA CASE WORKLOC1 CITY | Long Beach |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90802 |
| LCA CASE WAGE RATE FROM | 128000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78021 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Bucceroni |
| PREPARER FIRST NAME | Mandi |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Law Office of Mandi B. Bucceroni, LLC |
| PREPARER EMAIL | mbucceronilaw@gmail.com |
