| LCA CASE NUMBER | I-200-21117-260316 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PROJECT MECHANICAL ENGINEER |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-01 |
| END DATE | 2022-11-04 |
| 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 | Polyphase System Inc. |
| EMPLOYER ADDRESS1 | Post Office Box 21146 |
| EMPLOYER CITY | Barrigada |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96921 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | Select State |
| EMPLOYER PHONE | 16716332009 |
| NAICS CODE | 236220 |
| EMPLOYER POC LAST NAME | Carolino |
| EMPLOYER POC FIRST NAME | Ronald |
| EMPLOYER POC MIDDLE NAME | Cevera |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS 1 | Post Office Box 21146 |
| EMPLOYER POC CITY | Barrigada |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96921 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716332009 |
| EMPLOYER POC EMAIL | ronald@polyphase-guam.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SWAVELY |
| AGENT ATTORNEY FIRST NAME | MELINDA |
| AGENT ATTORNEY MIDDLE NAME | SUE |
| AGENT ATTORNEY ADDRESS1 | 865 SOUTH MARINE CORPS DRIVE, SUITE 201 |
| AGENT ATTORNEY CITY | TAMUNING |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16716461222 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | swavely@guamlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 176 Pedro Benavente Street |
| LCA CASE WORKLOC1 CITY | Barrigada |
| WORKSITE COUNTY | UNKOWN NAME |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 53581 |
| LCA CASE WAGE RATE TO | 53581.01 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 45781 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 Employment |
| PREPARER LAST NAME | Swavely |
| PREPARER FIRST NAME | Melinda |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Roberts Fowler & Visosky LLP |
| PREPARER EMAIL | swavely@guamlawoffice.com |
