| LCA CASE NUMBER | I-200-21175-424475 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-24 |
| DECISION DATE | 2021-07-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Technical Delivery Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-24 |
| END DATE | 2023-08-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Utica Mutual Insurance Group |
| EMPLOYER ADDRESS1 | 180 Genesee Street |
| EMPLOYER CITY | New Hartford |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13413 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13157342000 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Crook |
| EMPLOYER POC FIRST NAME | Nicholas |
| EMPLOYER POC JOB TITLE | Talent Acquisition Leader |
| EMPLOYER POC ADDRESS1 | 180 Genesee Street |
| EMPLOYER POC CITY | New Hartford |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13413 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13157342000 |
| EMPLOYER POC EMAIL | nicholas.crook@uticanational.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | OH |
| AGENT ATTORNEY PHONE | 15133812011 |
| AGENT ATTORNEY EMAIL ADDRESS | cas@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 218 Tuckasegee Way |
| WORKSITE ADDRESS2 | Unit #29 |
| LCA CASE WORKLOC1 CITY | Lexington |
| WORKSITE COUNTY | LEXINGTON |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29072 |
| LCA CASE WAGE RATE FROM | 121000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107952 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Hammond Neal Moore LLC |
| PREPARER EMAIL | cas@hammondlawgroup.com |
