| LCA CASE NUMBER | I-200-21238-547264 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-26 |
| DECISION DATE | 2021-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Analyst III |
| SOC CODE | 15-1199.00 |
| SOC TITLE | Computer Occupations, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-26 |
| END DATE | 2024-08-25 |
| 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 | 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 | Gaudin |
| EMPLOYER POC FIRST NAME | Dianne |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Talent Acquisition Consultant |
| 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 | dianne.gaudin@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 | 1701 W Gardenia Drive |
| WORKSITE ADDRESS2 | Apt. 11109 |
| LCA CASE WORKLOC1 CITY | Peoria |
| WORKSITE COUNTY | PEORIA |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61615 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78395 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Hammond Neal Moore LLC |
| PREPARER EMAIL | cas@hammondlawgroup.com |
