| CASE NUMBER | I-200-24311-456905 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/6/2024 |
| DECISION DATE | 11/14/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Engineer, Plans Check |
| SOC CODE | 17-2051.00 |
| SOC TITLE | Civil Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/7/2025 |
| END DATE | 5/6/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | SAFEbuilt LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 444 North Cleveland Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | LOVELAND |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80537 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19702922200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 5416 |
| EMPLOYER POC LAST NAME | Morgan |
| EMPLOYER POC FIRST NAME | Adam |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 444 North Cleveland Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Loveland |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80537 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19702861473 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | amorgan@safebuilt.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hua |
| AGENT ATTORNEY FIRST NAME | Ralph |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1700 7th Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 2200 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12066822308 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | SF-SEA-IMMIFilings@Fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 39355 California St. |
| WORKSITE ADDRESS2 | Suite 200 |
| WORKSITE CITY | Fremont |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94538 |
| WAGE RATE OF PAY FROM | $114,400.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $106,163.00 |
| 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 | Shakhalevich |
| PREPARER FIRST NAME | Katerina |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Fisher & Phillips LLP |
| PREPARER EMAIL | kshakhalevich@fisherphillips.com |
| BEGIN DATE CONVERTED | 2025-05-07 |
