| LCA CASE NUMBER | I-200-23200-199419 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-19 |
| DECISION DATE | 2023-07-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Customer Service Department Manager |
| SOC CODE | 41-3021.00 |
| SOC TITLE | Insurance Sales Agents |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-31 |
| END DATE | 2026-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Larson Insurance Brokers Inc. |
| EMPLOYER ADDRESS1 | 675 Ygnacio Valley Rd |
| EMPLOYER ADDRESS2 | Ste B215 |
| EMPLOYER CITY | Walnut Creek |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94596 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18319990730 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Larson |
| EMPLOYER POC FIRST NAME | Roger |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 675 Ygnacio Valley Rd |
| EMPLOYER POC CITY | Walnut Creek |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94596 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18319990730 |
| EMPLOYER POC EMAIL | rudeianne.psantos@gmail.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 678 Ygnacio Valley Rd |
| WORKSITE ADDRESS2 | Ste B215 |
| LCA CASE WORKLOC1 CITY | Walnut Creek |
| WORKSITE COUNTY | CONTRA COSTA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94596 |
| LCA CASE WAGE RATE FROM | 26 |
| LCA CASE WAGE RATE TO | 30 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 21.74 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |