| LCA CASE NUMBER | I-200-21231-532386 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-19 |
| DECISION DATE | 2021-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal Engineer |
| SOC CODE | 17-2051.00 |
| SOC TITLE | Civil Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-24 |
| END DATE | 2024-08-23 |
| 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 | Hazen and Sawyer, D.P.C. |
| TRADE NAME DBA | Hazen and Sawyer, D.P.C. |
| EMPLOYER ADDRESS1 | 498 Seventh Avenue |
| EMPLOYER ADDRESS2 | 11th floor |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10018 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12125397209 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Herrera |
| EMPLOYER POC FIRST NAME | Glenys |
| EMPLOYER POC JOB TITLE | Sr. Principal Human Resources Coordinator |
| EMPLOYER POC ADDRESS1 | 498 Seventh Avenue |
| EMPLOYER POC ADDRESS2 | Floor 11 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10018 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12125397209 |
| EMPLOYER POC EMAIL | GHerrera@hazenandsawyer.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | Floor 14 |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | otieno.ombok@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 498 Seventh Avenue |
| WORKSITE ADDRESS2 | Floor 11 |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10018 |
| LCA CASE WAGE RATE FROM | 88150 |
| LCA CASE WAGE RATE TO | 106017.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 88150 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Agatonovic |
| PREPARER FIRST NAME | Bosiljka |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | bosiljka.agatonovic@jacksonlewis.com |
