| LCA CASE NUMBER | I-200-24164-103491 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-06-12 |
| DECISION DATE | 2024-06-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DUCK CREEK POLICY PRODUCT MANAGER |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-15 |
| END DATE | 2027-07-14 |
| 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 | PACIFIC SPECIALTY INSURANCE COMPANY |
| EMPLOYER ADDRESS1 | 5515 E. LA PALMA AVE. |
| EMPLOYER ADDRESS2 | SUITE 150 |
| EMPLOYER CITY | ANAHEIM |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92807 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16572214889 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | HARRIS |
| EMPLOYER POC FIRST NAME | VICTORIA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES DIRECTOR |
| EMPLOYER POC ADDRESS1 | 5515 E. LA PALMA AVE. |
| EMPLOYER POC ADDRESS2 | SUITE 150 |
| EMPLOYER POC CITY | ANAHEIM |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92807 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16572214889 |
| EMPLOYER POC EMAIL | VHARRIS@PACIFICSPECIALTY.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CAMPANARO |
| AGENT ATTORNEY FIRST NAME | JOCELYN |
| AGENT ATTORNEY ADDRESS1 | 1125 17TH ST |
| AGENT ATTORNEY ADDRESS2 | SUITE 2400 |
| AGENT ATTORNEY CITY | DENVER |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13032183650 |
| AGENT ATTORNEY EMAIL ADDRESS | JCAMPANARO@FISHERPHILLIPS.COM |
| LAWFIRM NAME BUSINESS NAME | FISHER & PHILLIPS LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF COLORADO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5702 CLEAR CREEK LN |
| LCA CASE WORKLOC1 CITY | CHARLOTTE |
| WORKSITE COUNTY | MECKLENBURG |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28215 |
| LCA CASE WAGE RATE FROM | 164800.1 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149469 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | KONECHNE |
| PREPARER FIRST NAME | SONIA |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | FISHER & PHILLIPS LLP |
| PREPARER EMAIL | SKONECHNE@FISHERPHILLIPS.COM |