| CASE NUMBER | I-200-24297-426070 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/23/2024 |
| DECISION DATE | 10/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Vice President Application Delivery - KBGFJG73265-11 |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/25/2025 |
| END DATE | 3/24/2028 |
| 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 | QBE Insurance Corporation |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 55 Water Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12124221212 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 52412 |
| EMPLOYER POC LAST NAME | Mullin |
| EMPLOYER POC FIRST NAME | Patrick |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Head of Reward, North America |
| EMPLOYER POC ADDRESS1 | 55 Water Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12126016836 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Patrick.Mullin@us.qbe.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nakeswaran |
| AGENT ATTORNEY FIRST NAME | Tharshini |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 100 Adelaide Street West |
| AGENT ATTORNEY ADDRESS2 | Floor 31 |
| AGENT ATTORNEY CITY | Toronto |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | M5H0B3 |
| AGENT ATTORNEY COUNTRY | CANADA |
| AGENT ATTORNEY PROVINCE | Ontario |
| AGENT ATTORNEY PHONE | 15148712495 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | certified.lca@ca.ey.com |
| LAWFIRM NAME BUSINESS NAME | EY Law LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court of Connecticut |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | One QBE Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Sun Prairie |
| WORKSITE COUNTY | DANE |
| WORKSITE STATE | WI |
| WORKSITE POSTAL CODE | 53596 |
| WAGE RATE OF PAY FROM | $232,368.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $130,312.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Holden |
| PREPARER FIRST NAME | Carole |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | EY Law LLP |
| PREPARER EMAIL | carole.holden@ca.ey.com |
| BEGIN DATE CONVERTED | 2025-03-25 |
