| CASE NUMBER | I-200-24289-408367 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/15/2024 |
| DECISION DATE | 10/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | IT Software Quality Assurance Lead |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/19/2025 |
| END DATE | 1/18/2028 |
| 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 | Selective Insurance Company of America |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 40 Wantage Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Branchville |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7890 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19739483000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Frankie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Employee Relations Manager |
| EMPLOYER POC ADDRESS1 | 40 Wantage Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Branchville |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7890 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19739481773 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Frankie.Williams@selective.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hirsch |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 1601 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Ste 1200 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16109646100 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mih@shglawpa.com |
| LAWFIRM NAME BUSINESS NAME | Solow, Hartnett & Galvan, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6210 Ardrey Kell Road |
| WORKSITE ADDRESS2 | Suite 500 |
| WORKSITE CITY | Charlotte |
| WORKSITE COUNTY | MECKLENBURG |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 28277 |
| WAGE RATE OF PAY FROM | $114,100.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $98,384.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-19 |
