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Case Number

I-200-19009-335636

Case Status

Certified

A. Employment-Based Nonimmigrant Visa Information

1. Indicate the type of visa classification supported by this application
    (Write classification symbol):

H-1B

B. Temporary Need Information

1. Job Title

Client Services Consultant

2. SOC (ONET/OES) code

15-1121

3. SOC (ONET/OES) occupation title

Computer Systems Analysts

4. Is this a full-time position?

Yes

Period of Intended Employment

 

5. Begin Date (mm/dd/yyyy)

7/10/2019 12:00:00 AM

6. End Date (mm/dd/yyyy)

7/9/2022 12:00:00 AM

7. Worker positions needed/basis for the visa classification supported by this application

 

Total Worker Positions Being Requested for Certification

1

C. Employer Information

1. Legal business name

Ca, Inc.

2. Trade name/Doing Business As (DBA),
    if applicable

Ca Technologies

3. Address 1

1320 Ridder Park Drive

4. Address 2

5. City

San Jose

6. State

CA

7. Postal code

95131

8. Country

 

9. Province

 

10. Telephone number

408-433-4508

11. Extension

 

12. Federal Employer Identification Number (FEIN from IRS)

redacted field

13. NAICS code (must be at least 4-digits)

541519

D. Employer Point of Contact Information

Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in Section E, unless the attorney is an employee of the employer.

1. Contact's last (family) name

Gardanier

2. First (given) name

Courtney

3. Middle name(s)

4. Contact's job title

Broadcom Staffing

5. Address 1

1320 Ridder Park Drive

6. Address 2

7. City

San Jose

8. State

CA

9. Postal code

95131

10. Country

 

11. Province

 

12. Telephone number

408-433-4508

13. Extension

 

14. E-Mail address

Courtney.gardanier@broadcom.com

E. Attorney or Agent Information (If applicable)

1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.

2. Attorney or Agent's last (family) name

Emralino

3. First (given) name

Jestherlynn

4. Middle name(s)

Catoera

5. Address 1

2121 Tasman Drive

6. Address 2

7. City

Santa Clara

8. State

CA

9. Postal code

95054

10. Country

11. Province

12. Telephone number

4082353574

13. Extension

14. E-Mail address

Jemralino@fragomen.com

15. Law firm/Business name

Fragomen, Del Rey, Bernsen & Loewy

16. Law firm/Business FEIN

redacted field

17. State Bar number (only if attorney)

03888-2008

18. State of highest court where attorney is in good standing (only if attorney)

New Jersey

19. Name of the highest court where attorney is in good standing (only if attorney)

Supreme Court

F. Rate of Pay

1. Wage Rate (Required)

From:   $ 131,454.00 To:   $ 131,454.00

2. Per: (Choose only one)
Year

G. Employment and Prevailing Wage Information

a. Place of Employment 1

1. Address 1

5465 Legacy Drive

2. Address 2

3. City

Plano

4. County

Collin

5. State/District/Territory

TX

6. Postal code

75024

Prevailing Wage Information (corresponding to the place of employment location listed above)

7. Agency which issued prevailing wage

7a. Prevailing wage tracking number (if applicable)

8. Wage level
IV
9. Prevailing wage

$ 114,899.00

10. Per: (Choose only one)
11. Prevailing wage source
      (Choose only one)
11a. Year source published

2018

11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source

 

H. Employer Labor Condition Statements

I. Additional Employer Labor Condition Statements - H-1B Employers ONLY

a. Subsection 1

1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?
No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B nonimmigrants?

  • not checkedYes
  • not checkedNo
  • checkedN/A

If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition Statements" and indicate your agreement to all three (3) additional statements summarized below.

b. Subsection 2

  • Displacement: Non-displacement of the U.S. workers in the employer's workforce
  • Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
  • Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.

  • not checkedYes
  • not checkedNo

J. Public Disclosure Information

K. Declaration of Employer

1. Last (family) name of hiring
    or designated official

Gardanier / Gupta

2. First (given) name of hiring
    or designated official

Courtney / Jonakey

3. Middle initial

 

4. Hiring or designated official title

Broadcom Staffing / Hr Business Partner

5. Signature

6. Date signed

 

L. LCA Preparer

1. Last (family) name

2. First (given) name

3. Middle initial

 

4. Firm/Business name

5. E-Mail address

M. U.S. Government Agency Use (ONLY)

By virtue of the signature below, the Department of Labor hereby acknowledges the following:

This certification is valid

From 7/10/2019 12:00:00 AM To 7/9/2022 12:00:00 AM

Department of Labor, Office of Foreign Labor Certification

Determination Date (date signed)

1/9/2019 12:00:00 AM

Case Number

I-200-19009-335636

Case Status

Certified


The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.


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