| LCA CASE NUMBER | I-200-21144-339476 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-24 |
| DECISION DATE | 2021-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Test Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-10 |
| END DATE | 2024-10-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Grange Insurance Company |
| EMPLOYER ADDRESS1 | 671 South High Street |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16144452900 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Heimann |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC JOB TITLE | Senior Human Resources Business Partner |
| EMPLOYER POC ADDRESS 1 | 671 South High Street |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19377269710 |
| EMPLOYER POC EMAIL | heimannj@grangeinsurance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grimm |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Diane |
| AGENT ATTORNEY ADDRESS1 | 200 Civic Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144622631 |
| AGENT ATTORNEY EMAIL ADDRESS | mgrimm@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6957 Post Preserve Blvd. |
| LCA CASE WORKLOC1 CITY | Dublin |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43016 |
| LCA CASE WAGE RATE FROM | 72883 |
| LCA CASE WAGE RATE TO | 123261 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72883 |
| 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 |
