| LCA CASE NUMBER | I-200-20322-916519 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-17 |
| DECISION DATE | 2020-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Underwriter |
| SOC CODE | 13-2053.00 |
| SOC TITLE | Insurance Underwriters |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-14 |
| END DATE | 2023-04-03 |
| 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 | Capitol Indemnity Corporation |
| TRADE NAME DBA | CapSpecialty |
| EMPLOYER ADDRESS1 | 1600 Aspen Commons |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Middleton |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53562 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16088294200 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Hellenbrand |
| EMPLOYER POC FIRST NAME | Hayley |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Head of Human Resources & Administration |
| EMPLOYER POC ADDRESS 1 | 1600 Aspen Commons |
| EMPLOYER POC ADDRESS 2 | Suite 300 |
| EMPLOYER POC CITY | Middleton |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53562 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16088294200 |
| EMPLOYER POC EMAIL | hhellenbrand@capspecialty.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schaeffer, Jr. |
| AGENT ATTORNEY FIRST NAME | Gene |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 1 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Madison |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16082573911 |
| AGENT ATTORNEY EMAIL ADDRESS | gschaeffer@gklaw.com |
| LAWFIRM NAME BUSINESS NAME | Godfrey & Kahn, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 222 South Riverside Plaza, Fifth Third Center |
| WORKSITE ADDRESS2 | Suite 820 |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60606 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98218 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |