| CASE NUMBER | I-200-24281-389303 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/7/2024 |
| DECISION DATE | 10/15/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Actuarial Analyst |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/11/2024 |
| END DATE | 10/10/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Cover Whale Insurance Solutions, Inc. dba Cover Whale |
| TRADE NAME DBA | Cover Whale |
| EMPLOYER ADDRESS1 | 180 Maiden Lane |
| EMPLOYER ADDRESS2 | Suite 802 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14156857243 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 52429 |
| EMPLOYER POC LAST NAME | Latushko |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Talent Operations Partner |
| EMPLOYER POC ADDRESS1 | 180 Maiden Lane |
| EMPLOYER POC ADDRESS2 | Suite 802 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14156857243 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | maria.latushko@coverwhale.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Horne |
| AGENT ATTORNEY FIRST NAME | Daniel |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | PO Box 2087 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94126 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | CA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dhorne@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 180 Maiden Lane |
| WORKSITE ADDRESS2 | Suite 802 |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10038 |
| WAGE RATE OF PAY FROM | $126,277.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $130,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $126,277.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cervantes 92958 v.2 |
| PREPARER FIRST NAME | Peter |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson & Hertogs |
| PREPARER EMAIL | pcervantes@jackson-hertogs.com |
| BEGIN DATE CONVERTED | 2024-10-11 |
