Agricultural and Food Processlng Clearance 0rder ETA Form 790

orden de Empleo para Obreros/Trabajadores Agricolas y Procesamiento de Alimentos

(Prinl or type in each field block - To include addilional inlormation, go to block f 28 - Please ,ollow SteP.By-Step hstructions)

{Favor de usir letra djmolde en la solicitud - Para incluir intoimaci6n adicional via el punto # 28 - Favor de seguir las inslrucciones paso'a-paso)

Agent's Name and (Number, Street, City,

and zip Code / Nombre y 0irecci6n del Empleador/Palr6n y/o Agente(Nrimero, Calle, Ciudad, Estado y COdigo Postal ):

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a) Federal Employ€r ldenlifcation Number (FEIN) / Numero federal deldentif caci6n del Empleador:

aq^ \-')-? SAaSb) Telephone Number / N0mero de Tel6fono:

L3r- -'ra)-\:t1c) Fax Number / Ntmero de Fax:

t3r - li ) -"? tsq3d) E-mail Address / Direccion de Correo El8ctr6nico:

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7. Clearance lssue Date / Fecha de de la Orden de Empleo:

de Empleo:

9, Anticipated Period ol Employment / Perlodo anticipado o 0revisto de Empleo:

From / Desde; Sh J il To / Hasta: ra-\f \[T

U.S. Department LaborEmployment and Training Administration

oMB Cootrol No. 12054134Expiration Dalei October 31,20{5

Telephone numbe0 / Direcci6n dela Oficina donde se radico la oferta (incluya el nirmero de lol6fono);

a. Name of Local Office Representative (include direct dial te,ephonenumbeo / Nombre del Representante de la Oficina Local (lncluya el

ntmero de tel6fono de su Iinea directa),

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Hours of Work perTrabajo por Semana. Total: Lt ()

range of hours for different seasonal / Rango previsto dehoras par alas diferentes actividades de la temporadal

of Workers Requested / N0mero de Trabajadores

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Code / Cddigo lndustrial:

a. SOC (ONET/OES) OccupationalTitle / Titulo Ocupacional

and Directions io Work Site / Domicilio y Direcciones al lugar delrabaio:

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a) Description oI Housing / Descripci6n de la vivienda:

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Employer / Enrplcador: vestsfl noo

Nos. 4 through 8 for STATE USE ONLY

Nfmeros 4 a 8 para USO ESTATAL

Received 2/21/19RC

45209201

Nursery Workers

877-466-9757

877-466-9757

2/22/2019

8/23/2019

NY1292315

or cooking workers to prepare

*:::iB!iIHflXiJ"Jlfjflh'i::"Jflff!|:LiT:ff'd#"|l;,.f,ii;;;;d;t,uuiiuJoi,op'opo"io'*,gratuitamenteinsraracionesparacocinara day to3

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Employeis/Agenfs available hour to interview wo*eis t Exptique cOmotos candidahs seran contratados o r;feridos, y las horas disponibles del empleador/agente para

entrevistar a los trabajadores), see instructions lor more details / vea las inswcciones para mas detalles.

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6. Job description and requirements /

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O Criminal Background Check / Verifcaci6n de antecedentes penales

PDrug Screen i Deteccion de Drogas-EI-Extensive Pushing and Pulling / Empujar y Jalar ExtensamenteJBExtensive Walking / Caminar por largos ratosJr-Frequent Stooping / lnclinendose o agachandose con frecuencia

FOT/Holiday is not mandatory / Horas Extlas (sobre tiempo) / Dias Feriados n,

obligatorio

1. ls previous work expelience preferred? / Se ptefiere previa experiencia? Yes I Si)d No o lf yes, number of months preferredr / Si es asi, numero demeses de experisncia: l -\y.r^\J\5

2. Check all requirements that apply:

El Certilication/Llcense Requirements / CertilicacionAicencia RequisitosO Driver Requirements,/ Requisitos del conductor

Will Train i Empleador entrenara o adieslra16Cl Extensive Sitting / Estar sentado largos ratos

FErposure to Extreme Temp.,i Expuesto a Temperaturas Extremas

,Ef Lrftrng requirement / Levantar o Cargar 5rI-lbs./libraspRepetitive Movements i Movimientos repetitivos

Crop Activlties

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Periodo de Pago

i Semanal

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'18. More Delails About the Pay I Mas Detalles Sobre el Pago:

19. Transportation Arrangements / kreglos de Tlanspo ac;6n

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activitY

(ies)? I iEs la precfica habitual usar Contratistas de Trabajo Agricola para reclutar, supervisar, transportar, dar vi!ienda, y/0 pagarle a los trabajadorespara esre(os)tipo(s) de cosecha(s)? Yes i Si tr NoA

lf you have checked yes, what is the FLC wage for each activily? / Si conteslo 'Si,- cual es el salario que Ie paga al Contratista de Trabaio Agrlcola por

cada aclividad?

21. Are workers covered for Unemployment lnsurance? / ese le proporcionan Seguro de Desempleo a los trabajadores?

22. Are workers covered by workers' compensatiofl? / ase le provee seguro de compensacioo/indemnizaci6n al trabajador:

23. Are tools, supplies, and equipment provided at no charge to the wolkers? / aSe les proveen herramienlas y equipos sin costo

Y

a los trabajadores?

No El

24. List any arrangements which have been made with establishment owners ot agents foI the payment of a commission oI other benerils for sales made ioworkers, (lf there are no such arrangements, enter "Nose".) / Enumere todos los acuerdos o convenios hechos con los propietarios del establecimiento osus agentes para el pago de una comisi6n u olros benellcios por ventas hechas a los trabajadores. (Si no hay ningrln acueldo o convenio, indique'Ninguno".)

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tipo, indique "Ninguno",)

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NoE

toda huelga, paro o interrupcidn de operaciones por pade de los empleados en el no hay incidentes de este

en conexidn con una futum solicitud de cerlilicacion de empleo temporal para trabajadores H-2A?

Yes NoO

lerms and conditions of thejob, / Cenificacion del Empleador: Esla orden de trabajo describe los t6rminos y condiciones del empleo que se le ofrece, ycontiene todos los t6rminos y condiciones materiales ofrecidos.

tu q-r\Employe/s Printed Name & Title / Nombre y Titulo en Letra de Molde/lmprenta del Empleador

';})ar\rDale / FechaEmployefs Signature / Firma y Titulo del Empleador

READ CAREFULLY, ln view of the statutorily established basic funclion of the Employment Service as a nojee labol exchange, that is, as a forum for bringingtogether employers and job seekers, neither the Employment and Training Administration (ETA) nor the State agencies are guarantors of lhe accuracy ortruthfulness of information contained on job orders submitted by employers. Nor does any job order accepled or recruited upon by ihe American Job Centerconstitute a conlractualjob offer to which the American Job Center, ETA or a State agency is in any way a party.

LEA CON CUIDAoO, En vista de la funcidn besica del Servicio de Empleo establecida por ley, como una enlidad de intercambio laboral sin comisiooes. es decir, como unforo para reunir a los empleadores y los solicitantes deempleo, ni ETA nilas agencias delesladopueden garantizar la exactitud o veracidad de la infomacion conlenida ealas 6rdenes de trabajo somelidas por los empleadores. Ni ninguna orden de trabajo aceptado o €orlratado en el Centro de Carreras (American Job Center) constituyen unaofeda de kabajo contractuales a las que elAmerican Job Center, ETA o un organismo eslatal es de ninguna manera una de las pades,

PUBTIC BURDEN STATEMENTThe public reporting burden for responding to ETA Fom 790, which is required to obtain or retain benefts (44 USC 3501), is estimated io be approximately 60 minutes per

information unless it displays a cunently valid OMB Conkol Number, This is public information and lhere is no expeclaiion of confdentiality, Send commenls regarding this

burden estimate or any other asp€cl oflhis collection. includiflg suggestions for reducing this burden, tothe U.S. Depariment of Labor, Employmenl and Training

Administration, office of Workforce lnvestment, Room C4510, 200 Constitution Avenue, NW, Washington, DC 20210

DECLARACION DE CARGA PUBLICALa carga de informacion publica para responder a la Fonna ETA 790, que se requiere para obtener o reteaer beneficios {44 USC 3501), se estima en aproximadamenle 60

minutos porrespuesta, incluyendo eltiempo para revisar las instrucciones, buscar fuentes de datos existenles, recopilary revisar Ia colecci6n. El ptblico no iiene por que

responder a esta recopilaci6n de iniormacion a menos que muestre un numerc de control OMB virlido, Esta informacion es pirblica y no hay ninguna expeclativa de

confdencialidad. Envie sus comentarios acerca de esta carga o cualquier otro aspecto de esta colecci6n, incluyendo sugerencias para reducir esta carga, al U.S.

Deparfnent of Labor, Employment and Training Adminislration, Offce of Workforce lnvestment, Room C{5'10, 200 Constitu on Avenue, NW, Washington, DC 20210.

-6-

Use this section to

informacion adicional de apoyo; incluya el numlero de la secci6n e incluya archivos ad]untos, si es necesaio.section Box number). lnclude attachments, iinecessary' esta seccion para proporcionar

tj\ cruq-

-7 -

20 cFR 6s3.501Assurances

INTRASTATE AND INTERSTATE CLEARANCE ORDER

The employer agrees to provide to workers referred through the clearance system the number ofhours of work per week cited in Item 10 of the clearance order for the week beginning with theanticipated date of need, unless the employer has amended the date of need at least 10 workingdays prior to the original date of need by so notifying the Order-Holding Office (OHO). If theemployer fails to notify the OHO at least 10 working days prior to the originat date of need, theempioyer shall pay eligible workers referred through the int rastate/in tersta te clearance systemthe specified hourly rate or pay, or in the absence of a specified hourly rate or pay, the higher ofthe Federal or State minirnum wage rate for the first week starting with the original anticipateddate of need. The employer may require workers to perform alternative work if the guarantee isinvoked and if such alternative work is stated on the job order.

The employer agrees that no extension of employment beyond the period of employment shownon the job order will relieve the employer from paying the wages already earned, or specified inthe job order as a term of employment, providing transportation or paying transportationexpenses to the worker's home.

The employer assures that all working conditions comply with applicable Federal and Stateminimum wage, child labor, social security, health and safety, farm labor contractor registrationand other employment-related laws,

The employer agrees to expeditiously notify the OHO or State agency by telephone immediatelyupon learning that a crop is maturing earlier or later, or that weather conditions, overrecruitment, or other factors have changed the terms and conditions of employment.

The employer, if acting as a fa rm labor contractor, has a valid farm labor contractor registrationcertificate.

The employer assures the availability of no cost or public housing which meets applicable Federaland State standards and which is sufFicient to house the sDecified number of workers reouestedthrough the clea ra nce system.

The employer also assures that outreach workers shall have reasonable access to the workers inthe conduct of outreach activities pursuant to 20 CFR 653.707.

Employer's Name DarJ: eftillg

Employer's Sig natu re

Besides the material terms and conditions of the employment, the employer must agree to these assurances ifthe job order is to be placed as part of the Agricultural Rccruitment System. This assurance statement must besigned by the employer, and lt must accompany the ETA Form 79o.

-8-

a.

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Page t of4New York State Depanment of Labor

Form ETA 700 AttachmsntTorms and CondttlonslClarlflcations and Assurances/

Addluonal lnformatlon

A: CLARIFICATION OF ITEMS ON FORM FTA 790

Item 3: HouBlno

a. Housing and utilities are provided at no cost to H-2A workers and those workers in correspondingemployment who are unable to return to their place of residence the same day.b. Housing beds, bedding, and mattresseE rn ill b6 furnished al no cost to the woikers.

c. Housing will be clean and meet the applicable Federal and State housing standards.d. Workers will be responsible for maintaining housing and surrounding areas in a neal, clean manner.

Item l4: Board ArranoementsEmployer willf] vill notp provide three meals per dayand witl deduct $ ^.'t* pet day.Employer willfi will riotfl fumistr fre6 dishes, cooking utensils and convenient kitchen and cookingfacllities. ' ,Employer willfl will notfl provide transportation lo aasure workers access lo sto.es where they canpurchase groeries and/or olher incid€ntals, and/or medical n€cessities

lle{n 16: Job Spectflcations

Employer may terminate worker with timely nolilication to the NPC and DHS, if lhe worker:1) Refuses, without cause, to perform work for whioh the worker was recruited and hired;2) Commits serious acts of misconduct:

. P Abandons Job ("Job Abandonment") - is absenl for five consecutive previously schedul€d days' wilhout prior notification to employer.

Item 17: Waoe Rates. Soeclal Pav lnformatlon and Deductlons

The employer will ofier, advertise in its recruitmant, and pay a wage that is ths highest of the AEWR, theprevalllng hourly wage or piece rata, the agreed Llpon collective bargaining wage, or the Federa, or Statsminimum wage, 6xcepl wh€re a special procedure is approvod for an occupalioo or specifio clas6 ofagricultural employment. Employer assures that if a change in the AEWR requires an increase suchincrease will be paid as of the effective date of the lncrease. Also if the AEWR is decreased this willbacomB lhe wage effe€dive on the date of the decr€ase.a. lf piece rate eamings for total hours of work al a pi€ce rate during a pay period do not result in

average houdy earnings egual to lhe guaranteed minimum hourly rate, the worker will rec€ive make-up pay lo tho guarant€ed minimum wage rate.

b. ln New York State, the only doductions that oan be taken from work€t pay erc:1. Thoss requir€d by law, such as Social Security, lncome lax, and garniehment of wagesi and2. Those that benefit workers and are authorized in writing, such as lif€ lnsuran@, or a savings

account.I

(if

Workers must be able to demonstrate that ihey are physically able to

Page? of 4

Any other dedoctlons are lllegal.

d.

The employer guarantees to otler employment for a minimum of % (three-fourths guarantee') of thehours in the workdays during the period of lhe contracl, and all extengions lhereof- This guaranteeb€gins with the firsl workday after lhe worker's anival at the place of emplayment and ends on thedate speclfied on the job order or extensions thereof, ln tire. weather, or Aot of God terminations (asdetermined by lhe Certifying Officer) the % guarantee period ends on the dat6 of termination. The€mployer must make efforis to transter the worker lo olher comparable employm€nt acceplablo to thoworker, consistent with exi6ting immlgration law, as applicable. lf such a transfer is not affec{ed, theemployer must ('l) return the worker, at the employer's €xpense, to the place from which the worker(disregarding inlervenlng employmenl) came io work for the employer, or transport the worker to theworker's nen certifted H-2A employer, whichever the wo*er prefers; {2) reimburse the worker th€ fullamount of any deductions made from the worker's pay by lhe employer for transportation andsubsistenco expenses to the place of employmenli and (3) pay the worker for any costs incurr€d bythe worker for transportatio. and daily subsistence to that employer's place of omployment. Dailysubsislence must be computed as set forth in paragraph (h) of 655.122. The amounl of thelransportation paymebt must not be less (and is not requlred to be more) ihan the most economicaland reasonable common carier transportalion charges for the distances involved provide lheguarantees in ltem 19 (a) below.Workers will not be required to work more than the number of hours specified in ihe job order for aworkday or on their Sabbath or federal holidays to meel this guarantee. The worker's average hourlyeamings will be used und6r this guarant€e where wages are paid on a piece rate basis. Workers whoare tarminated for cEuse or who voluntarily abandon their job are not €nlitled to lhis guarantee it

employer provides timely notiriGalion to the NPC and DHS.On or before each payday the employer will provide to each worker in one or more written statementsthe following information: (1) ths worker's total eamings for the pay period; (2) the worker's hourly rate

and/or pieci :"ite of pay (3) the hours of employment offered to the worker (showing offers inaccordance with the % guaiantee as determined in paragraph (i) o{ the regulations at 20 CFR sec.

655.122(kl, separate from any hours offored over and above the guarantee); (4) the hours actuallywo*ed by iho worker; (5) an itemization of all deductions made from the worker's wages; (6).if piece

rates are used, the unili produced daily; (7) beginning and 6nding dates of the pay periodi and (8) the

employer's nsme, address, and FEIN,Wo*ers wittr school age children who have rnigrated with such children and who depart in tims to

return home lor the beginning of the school yaar shall be paid, ln sddilion to the basic wages, any

bonus or other inceniiv; payments or oth€r axpenses to which they would be entitled had thoy stayed

lha entire iob order Period.Tne employer will provide workers referred lhrough lhe inlerstate clearance system tlo hours of

worf for tno week beginning with the anticlpated data of need, unless employer has amended the dale

ol need by notifying tie SWn no later thari 10 business days before the date of need. lf lhe employeriuff" o no'tfy ifr6 tiYS D"p".tm"r,t of Labor, th6n the emptoyer shall pay an eliglbla worker r€terred

through the clearance system 53c(d0 (number of hours of worft x AEWFlprevalling wage/rninimum

,oag") for the firsl wgek irrrting witn lhe originally anlicipated date of n€ed. ll worker roferred fails to

iJn'fy'mi iqiS o"p"rt.unt ofiabor of coitinuea inte;st ln the Job.€t least sgavs-before date of

"Ji,i, *Jrf,ii *iff be disqualified irom this aEsurance. Employer willD will nore tequire worker to

perfoim attemative work ia lhe guarantee cited in this section is lnvoked'Alt6matlve work:Employer will mainlaln adequate payroll records. workefs will be paid weekly on $*f for wo*

through thB previous >sr .

L

z

Page 3 of4

ttem 19i Transoortatton ,1b

Employer agrees to reimburse inbound transportation and 6ubsistence exp"na* 1f'/'''l p€r day mlnimumlg: Igxilnum.oI $46-00 per.-da_y). to each woi.ker, or any pur"on, govemmenr ag6ncy, or privareorganization which' on behalf of the.worker, hqs paid oi advanced- sucrr transpdhagJn anat 6ubsist€nceexpenses, from thB ple@ from which the r,rrorker has come lo work for the employer, wheiher in lha U.$. orabroad to lhe place of employmenl, afler the wsrker has completed 50% o{ thi sitpurrt a perlod ofemploytnent. from inltial dale of need or from the day after actuat anival of worker if tater lhan th6 shteddate to repod,

a. Employer will provide or Pay ths cost of relum lransportation snd subsistence to each \.yorker whooomplet€s the employment perlod. or who is terminited for medical reaeons, or as lis result of ,ire,weather, or an Act of God (as detsrmin-ed by the Certifying Ofiicer), from place of emfloyrnent lo placeof recrultmBnt, except if thg worker prefers not to retuni tdnis place or reirultmenl an'a his subseiuentemptoyment with an employer - see ltern 17 (c) abov€. Employer will no! be rosponslbla for providingr€lurn cost of l.anspo.tstion end subsistence from place of emlloyment to place of reeruilment if the-wortsr v_oluntarily abandons th6 Job or is lermlnated for cause bni employir provldes tirnaly flotilioalionto the NPC and DHS.

b. The amount of the transportation payment will be equal to the mogt economical and reasonablo 6imila,common carrier transportation charges for lhe distanca ifivolved. All transportatian prouided by thearnploy€r will bs by common carrier of othet transporlatlon tacilities which conform to the applicableregulatiom of the lnterstat€ Comm€Ice Commission or the United Slates D€partrnsnt of Labor. Theamount of daily subsistence will be in accordarce with cunent rates published in the Foderat Register(for workers with and without receipts).

c. lf requestod by the worker, employer will assisl in making transportallon anangements.d. Employer will plgvide transportalion. at no coEt lo the worker, from tha empldyer provided housing to

the actual work site and return ai the end of the day.

Item 22: Worko6' Compensatlon

-.2 t-}q?3)SY G

The employer assures thal Policy # issued.!lo-rt .:5r.5'-a.r.,r.."- S.,*^ I

by provides lhe required insurance for inJurias

Bi

1.

arising out of and in the course of employment.Employer's proof of insurance coverage willcenificalion is granted,

be provided to the Chicago Processing Center before

Item 23: Tools amd Eouloment

The employer will furnish wilhout cost all tools, supplies, or equipment reguir€d in the performance of wo*.

OTHER CLARIFICATIONS AND ASSURANCES

The employer agrees to abide by the regulations at 20 CFR 653.501 and 20 CFR 555.135.The employer will expeditiously notify the State agenoy by telephone immedialely upon leaming that a cropis maluring earlier or later, or that weather conditions. over-recruitmenl, or othgr factors have changed lheterms and conditions of emptoyment.

3, Outreach workeN shall have reasonable access to lhe worker in the conduct of outreach ectivities pursuantto 20 CFR 653.50'l(xvi).

4. lf applicable, the employer is certified in lhe use and applicalion of peslicides per Federal EnvironmentalProleclion Agency and State Department of Environmental Consorvatlon requirements. The employerassures lhal workers hired under this order who will be handling pesticides will be provid6d appropriatetraining, if applicable.

Page 4 of4S. The employer will provide lo an H-2A worker no later lhan the time at which lhe wor&er appliec tor lhe visa'

or to a worier ln cbnesponOing emptoyment no lalar than oo the day work commences, a copy of the workcontracl belur€€n the employei and ttri worters in a language undectood by lhe worker'

O. ffre empfoyeiassures thlt ii actlng as a farm labor contract,or (FLC) or farm lator.conkactor employee- tflCet'on'tne order, he/she ha6 ivalid federal FLC certiticale or FLCE identitication card.

Z. itre aipticant assures that he/she complles with NYS regislration requiremenis. Farm labor contractors

anticiiiting employment contfacting with growers or prooegsors in New York state, growers or processors

in Ne;,rr Yo;k St;te;ho use the getices of a farm labor conlractor, and growers or processors in New York

State who, wilhout using the services of a farm labor conlraclot. are responsible for brlnging into the slatefive or more out-of-state migrant farm or food processing workers, not lncludlng H-2A workers, arer€guired to r6gi6ter with theNew York State Department of Labor and pay a registration fee in addition loany other feei that may be applicabte. Thi6 statement applies only to H-2A employers who also employ,ive or more out-of-statc migrant workers.

Employer Slgnaturo.

s-2014

4

OMB AWNaL 12010466Ex pitation Dete : 5,j 1./201 9

H-2A Application for Temporary Employment CertificationForm ETA-9142A - APPENDIX A

U.S. Department of Labor

For Use in Flllng Appllcations Under the H-24 Agricultural Program gItI

A. Attorn€y or Agent Declaration

I hercby ceftily lhat I am an dnptoyee of, or hlred by, the emplopr listeat io Section C ol lho Form ETA-91124 and thal I havebe€/fa desigoated by Otat emptowr to act oo iE behalf in connection with this application. lf I ad an agent and not anemployee of the enployer, then I have attached a Letter of Representa on from the employeL I also cadify that to the best ofmy Rnowledge the infonation contalned herein is true and correct. I understand that to knowingly furnish false information in thepreparction ol this fom and any supplement hereto ot to aid, abet, ot counsel another to do so is a tetony punishable by a $250,0A0fine orSWarc in a Fedeal penitentiary at bth (18 U.S.C. 1001).

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

GISMONDI2. First (given) name

JOHN3. Mlddle initial

4. Firm/Business name

U.S. AMERICANS INC5. E-Mail address

usamericans@aol.com6. sisyure .. 7. Date signed

02121t2019Employer Declaration

By viiue ot my sqnature below, I HEREBY CERTIFY the following conditions ot employment:

1. The job opportunily is a full-lime temporary position, the qualifications for which do nol subslantially deviale from the normaland accepted qualificaiions .equired by non-H-2A employers in the same or comparable occupalions and crops.

2. The specific job opportunity for which the employer is requesting H-2A certificalion is not vacant because the formeroccupant(s) is (are) on strike or locked oul in the course oI a labor dispule involving a work stoppage.

3. The job opportunity is open to any qualified U.S. worker regardless of race, color, national origin, age, sex, religion, handicap, orcitizenshlp, and the employer has conducted and will continue to conduct the required recruitment, in accordance with .egulations,and has been unsuccessful in locating sufiicient numbers of qualified U.S. applicants for the job oppo(unity for which certification issought. Any U-S. workers who applied or apply lor the iob were or will be rejected only for lawful, iob-related reasons, and theemployer must retain records of all rejeclions as required by 20 CFR 655.167.

4. The job opportunity offers U.S, workers no less than the same benefits, wages, and working conditions lhat the employer isoffering, intends to offer, or will provide to H-2A workers and complies with the requkements at 20 CFR 655, Subpart B.

5 The employer underslands that il must offer. recruil at. and pay a wage that is at leasl the highest of the adverse effect \/!Egerate in effect at the time the job orde. is placed, the prevailing hourly or piece rate, the agreed upon collective bargaining rate(CBA), or the Federal or Siate minimum wage, and, furthermore, that if a new Adverse Effect Wage Rale is published, or lheemployer is notified of a new prevailing wage .ate during the contracl period, and that new rate is higher than the wagedetermined by the NPC (excepl the CBA) during lhe application process the employer will increase the pay of all employees inthe same job occupataon to the higher rate. For employers subject to lhe requkements at 20 CFR 655.200-235. the employerunderstands that it must offer, recruit at, and pay a wage thal is at leasl the highest of the adverse effect wage rale, theagreed-upon CBA, or lhe applicable minimum wage rale set by Federal or Slate law or judicial aciion, for each month, orportion thereof, during the job order period.

6. There are no U.S. workers available in the area(s) capable oI performing the temporary services or labor in the jobopportunity, and the employer will conduct positive recruilment as specified by the NPC and continue lo cooperate with theSWA by accepting referrals of all eligible U.S. workers who apply (or on whose behalf an applicalion is made) for lhe jobopportunity until completion of 50% of the contract period calculated from the tirst date of need indicated in Section 8.5 ofForm ETA-g142A

7. All fees associated wilh processing the temporary labor cedification will be paid in a timely manner.

B.

Ironn ETA-9142A - Appendix A

Case Number:

TO BE COlttPI-E'lED tt'l'Flrl{PLOYER FROI\I ACERTIFIIiD TORXI IIA-91{2A PaseA ]ol ,\l

Case Slatusl Period ol Employment

AMB Awrova| 12A5-0466Expiftton Date 5n1/2019

H-2A Application for Temporary Employment CertificationForm ETA-9142A - APPENDIX A

U.S. Department of Labor

During the period of employment that is the subject of the labor cerlilication application, lhe employer;(i) Wll comply with applicable Federal, State and local employment-retaled taws- and regutalions, inctudingemploymenl-related health and safety lalvs;

(ii) Wll provide for or secure housing for workers who are not reasonably able to return to thelr permanent residence atthe end of the work day that complies wjth the applicable local, Slate, or Fede.al standards and guidetines forhousing without charge lo the workerl

(iii) Vlhere required, has timely requesled a preoccupancy anspeclion of lhe housing and received certification;(iv) Wll provide insurance, without charge to lhe worker, under a Slale workers' compensallon law or otherwise, lhat

meets the requirements of 20 CFR 655.122(e).(v) Wll provide transportation in compliance wilh all applicable Federal, Stale or local laws and regulations between the

worker's livlng quarlers (i.e., housing provided by the employer under 20 CFR 655.122(d) and, if appticabte, 655.230)and the employe/s worksite wilhout cost to the wo*er.

(vi) Wll provide alltools, supplies, and equipment required to perform the duties, without charge to the worker.(vii) Wll provide meals and potable water, without charge to the worker, if subject to the requirements at 20 CFR

655.200-235.

The employer has not laid off and will not lay off any similarty employed U.S. worker in the occupation lhat is the subject of theH-2A Aoplicalion for TemporaN Emolovment Certificalion in lhe area of intended employmenl except for ta\r,ful, job retaled.easons within 60 days of the date of need, or ifthe employer has laid off such workers, it has offered the job opportunity thai isthe subiect of the application to those laid-oft U.S. worker(s) and the U.S. worker(s) refused the job opportunily, was rejecledfor theiob opponunity for laMul, job-related reasons, orwas hired.

The employer and its agents have not soughl or received paymenl of any kind From the H-2A worker for any activity related tooblaining labor cerlification, including payment of the employeis attorneys' fees, applicatjon fees, or recruitment cosls. Forpurposes of this paragraph, payment includes, but is not limited to, monetary payments, wage concessions (includingdeductions from wages, salary, or benefits). kickbacks, bribes, tributes, in kind payments, and rree tabor.

The employer has and wll contractually forbid any foreign labor conkactor or recruiler whom the employer engages ininternational recruitment of H-2A workers to seek or receive payments from prospeclive employees, except as provided for inDHS regulations-

The employer has not and witl not intimidate, lhreaten, restrain, coerc€, blacklist, or tn gny manner discriminate against, andhas not and will not cause any person to inlimidale, threalen, restrain, coerce, blacklist, or in any manner discriminale against,8ny person who has with just cause:

(i) Filed a complaint under or related lo Sec. 218 oI the INA (8 U.S.C. 1188), or any Depadment regulation promulgatedunder Sec. 218 ofthe INA;

(ii) lnstituted or caused to be instituted any proceeding under or related to Sec. 218 of the lNA, or any Departmenlregulation promulgated under Sec. 218 ofthe INA;

(iii) Testified or is about to testify in any proceeding under or related to Sec. 218 of the INA or any Departmenl regulalionpromulgated under Sec. 218 ofthe INA;

(iv) Consulted with an employee ofa legal assislance program oran attorney on matters related to Sec.218ofthe tNAor any Department regulation promulgated under Sec. 2'18 oflhe INA; or

(v) Erercised or asse(ed on behalf ol himself/herself or others any right or prolection afforded by Sec. 218 of the tNA, orany Depanment regulation promulgated under Sec.218 of the tNA

The employer has nol and will not discharge any person because ofthat person's taking any action listed in paragraph 12(i) through(v) listed above.

The employer will inform H-2A workers of the requirement lhat they leave the U.S. at the end of the penod certified by theDeparlmenl or separation lrom the employer, whichever is earlier, as requared under 20 CFR 655.135(D, unless the H-2Aworker is being sponsored by another subsequent employer.

The employer has posled the Notjce of Workers' Rights as required by 20 CFR 655.135(l) in a conspicuous ptace frequentedby all employees,

16. lf the applicatlon is being filed as an H-2A Labor Contractor the following additional attestations and obllgations apply under 20cFR 655.132:

(i) The H-2A Labor Contractor has provided a copy of the MSPA Farm Labor Contractor (FLC) certificate of registrationif required under irSPA, 1801 U.S.C. et seq , lo have such a certificate identifying the speciflc farm labor contractingaclivities il is authorized to performi

(ii) The H-2A Labor Contractor has provided with this application a lisl of the names and locations of each fixed-siteagricultural business to \,rhich the H-2A Labor Contractor expects to provide H,2A workers, the expected beginningand ending dates when the H-2A Labor Contractor will be providjng the workeas to each fixed site and a descriplionofthe crops and activities the workers are expected to perlorm at such tixed site;

(iii) fhe H-2A Labor Cootraclor is able to provide proof of its ability to discharge fnancial obljgations under the H-2Aprcgram and has secured a surety bond as required by 29 CFR 501.9, the original of which as altached and shovls

11.

'15.

'13.

14.

Form ETA"gl42A AppeDdix A

Case Number:

TO BE COIIPLETED B| EMPLOYER FROIII A ( ERTII'IIiD FOIiII [TA-9t{2,\ Pase A 2 ot^ ]

Case Statusl Period olEmploymentr _ to

aMB Approvdl: I 205.0466Ex ptft tion D ate : 5n 1 /2Ot I

H-2A Application for Temporary Employment CertificationForm ETA-9142A - APPENDIX A

U.S. Department of Labor

the name, address. phone number, and contact person for the surety. and provides the amount ot the bond (ascalculated pursuanl lo 29 CFR 501 9);

(iv) The H-2A Labor Contractor has engaged in aod will engage in recruilmenl effo(s in each area of intendedemploymenl in wirich il has listed a fixed-site agricultural business as required in 20 CFR 655.121, 655.'150-155 and655.215;and

(v) The H-2A Lsbor Contractor has obiained from each fixecl-site agricullural business thal will provide housing orlransportation to the workers a written sialement slating that:

a. All housing used by workers and owned, operated, or secured by the fixed-site agricultural businesscomplies with the applicable housing standards in 20 CFR 655.122(d) and, iI applicable, 655.235: and

b. AII transportation bet een the worksite and lhe workers' living quarters thst is provided by lhe fixed-siteagrjcultural business complies with all applicable Federal, State, or local laws and regulations and willprovide, at a minimum. the same vehicle safely standards, driver licensure, and vehicle insurance asrequired under 29 U.S.C. 1841 and 29 CFR pa 500, excopt \\4]ere workers' compensation is used tocover such transporlation as described in $ 655.122(e); and

c. Attaci to the slalemenl certificates of occl.rpancy from the SWA for all employer oM)ed housing and copiesof all drivers' licenses, vehicle registraiion, and insurance policies for all drivers and vehicles used totransport H-2A workers.

I hsreby acknowledge that the agent or attorney identified in section E (if any) of the Form ETA-9142A and section A above isauthorized to represent me lor the purpose oI labor certification and, by virlue o, my signature in Block 5 beiow I iake tullrosponslbllity for the accuracy of any representations made by my agent or attorney.

I declare under penafty of perjury that I have read and reviewed this application and that to the best of my knowledge the informationcontained therein is true and accurate. I undetstand that to knowingly furnish false infornation in the prcpahtion of this form and anysupplement the@to or to aid, abet, or counsel another to do so is a felony punishable by a $250,000 frne ot 5 years in le Federalpenitentiary or both (18 U.S.C, 1001),

I Last (family) name

REEVE2. First (given) name

PAUL3. Middle initial

4, Titlo

OWNERu "'*HJ- R

6. Date signed

02t21t2019

Public Burden StatementPe6ons are not required lo respond to lhis colleclion of informalion unless at displays a currently valid OMB conlrol number. Public reportingburden for lhis colleclion of information is eslimated lo average t hour to complete the form, including the time tor reviewing inslnrctions,searching existing data sources, galhering and maintaining the data needed, and completing and revrewing the collection of informalion. Theobligation lo respond to lhis data collection is required 1o obtain/retain benerlls (lmmigration and Nationality Act, 8 U.S.C. 1101, el seq.).Please send comments regarding this burden estlmate or any other aspect of lhis information collection to the Office of Foreign LaborCe.tification ' U.S. Depaftmenl of Labor' Box 12-200 ' 200 Constitulion Ave., NW, 'Washington, DC ' 20210. Please !Djg! send thecompletEd appllcation to thls address.

Form ETA-9142A- App€ndix A TO BE COMPLETED BY EMPLOYER FROM A CERTIrIED FORM ETA-9lr2A PageA.3ofAi

Case Number: Casc Status I'eriod ofEmployrn('nt _ lo

Brad Reeve Sr and Paul Reeve Inc891 Main Road Rt 25Aquebogue NY 11931Tel;631-122-4369

Dcar Sir/Madam,

This rvill confirm thst I fully authorize U.S. Americans lnc to prepare and submitany and all applications and petitions required by the USDOL, Department ofHomcland Securify and thc Department ofState to *pprove thc employment oftcmporary foreign workers for our company,

This authorization is given to thc followirrg signatories of U.S. Amcrieans Inc:John Gismondi, V.P & Dircctor of Operations, rnd John Gallo, President.

We, along rvith U.S. American Inc, do not utilize any agcnt or recruiter for therecruitment of H-2A workers under this t;rplication for temporary employmentcertif,rcation. Our workcrs arc referred to us by current cmployees in our companywho have family and frionds interested in working for us.

We do not and will not recoive payment of any kind from thc workors for anyrctivity related to obtaining H-2A lattor certifications or employment' includingp,rymenl ofthe employer's agont or attorney fees, application and H-2A Petitionfees, recruitmenf cost, or any feos attributed to obtaining th€ approved applicationfor Employment Certification.

This is to confirm that this occupation is not party to any collective bargainingagreement governing the job ctassirication that is the subject of the H-2A laborcertification application,

si$pf.ty,f^d H'.--faul RccvrOwncr

NY 1 1J90- 1463 . Tel: 516-997-106 5/9187-fax

USDOLCftie*go IIPCChie4go,IL 60604

Ilear glr/&Iadam,

\trt at U'$. Amerierns Inc will not utilize sny agent or r€cruiter for fhe recrultmont of H-2A workersu$der this sppllcation ior Tomporary Bmploymert certilicatlon,

Director of Operations

E1l1B/2419 12;52 15317227893Frt'tt Laurrn rr.crtl.ry trrr llEliLa4a7a IC 0117?l7atr(lli..l.l,.rt'r

EAYVIEi-I FARMEF.x; llUl tE*ral{

PAGE E1arl.: ! ca r lulorSqlt laB a

Wr*tt'f orifirtt*on & Drut'ili4' Bentfit* S4r,.lallsti Sing. ! glt199CHURCH STRdET NAr/ YORK. N Y 1mO7-11d0

POLICYHOLOER

BRAEFORD T EEEVE SR,& PAULREEVE II'IC,

% BRAD T REEVE PO B6X 628AQUEBOGUE NY r 193.'

SCAN TO VALIDATEAND EUBSCR]BE

CfRt,FICATE HOLOER

U.S. DEPARTU]E},IT OF LABOR?OO CONSTITUTIOI.] AVENUE, NWWASHINGTON DC 2O2,I O

New York State Insurance ll'und

cERnFrcArE OF WORKERS' CoMPENSATIOII lt{suRANCE (RENEWdD)

ERADFOFID T REEVE SH.& PAULREEVE INC,

% BRAD T REEVE PO BOX 613AOUEBOGUE NY 14S31

POLICY NUMBER2.1397 8844

CEETIFICATE NUMBER8,t4738

POLICY PEEIOO06/0112018 Te 08 01,?O',13

OATE1t1\/2018

I|IIS IS 1O OERTIFY THATIHE FOLICYHOLDER NAIIIED ABOVE IS INSURED WTH THE NEW YORK STATE INSURANCEFUND UNDER POLICY NO, 1SS7 881-6, COJERING THE ENTIRE OHLIGATION OF THI$ POL]CYHOLDER FOR

U,/ORKERS CSMFENSATION UNDER THE NEW YORK WORKSRS' COMPENSATION LAW WTH RESPECT TO ALLOPERATIOr\IS IN THES?AYE OF NEW YQRK, EXCEPT AS INDICATED BELOW,

IF YOU I,A'3H TO RECELE NOTIFICATIOHS REGAROINE SAID FOLICY, INCLUOII,IG At{Y NOTIFICATION OF CANCELLATIO[{ts.OR TO VALIOATE TH16 CERiIFICATE, VISIT OUF WEB$ITE,CT HTTFS:"WWU'.IIYEIF,6OII'SERT'CERTVAL.AEP. THE I{E!YOEK EIATE IIIEURAHCE FUIID lSilOTLIABLEl TLlE EVEtilTOF FAILURE IO Gl\iE SUCll lloTlFlcATlOHa.

rTIS POLICY DOES NOT Cgr'ER CLAIMS OR .5UIT$ THAT ARISF FRQM g@ILY INJURY SUFFERED BY T}'IE OFFICER$ OF THEINSiJRED CORFORATION.

BRADFORD T RE€VE SR -PRE$IDENTFAUL FEEVE. VICE PRESIDENTBHAOFORD T REEVE SR. & PAUIREEVE INC:oFT

THI$ CERTIFICATE Is ISSUED AS A MATTEF OF INFORMATION ONLYANO CONFERS NO FIIGTJTS NOE INStJRANCE

COVERAGE UPON THE CERTIFICATE HOLOEF, THI$ CERTIFIC.ATE Dtrg NOT ,AMENO, EXTEND OR ALTE}ITHE COVERAGE AFFORDED BY THE POLICY,

r)-16.3vALtDATrOr.r rr UMBEe e783C3039

NEW YORK STATE II,ISURANCE FUNDt" .tr-!' / 't 1l

;;-X, L,, .-.^.i:+'y \s,ra.!.

DIRECTO€I, NSURAIICE CI]ND UNEER!!IIIlING

Bradford Reeve Sr & Paul Reeve Inc891 Main Road

Aquebogue NY I l93lTel: 631-722-4369

Dear Sir/l\4adam,

We assure you that the workers'compensation will berenewed prior to its expiration.

Sincerely,f"-S- A'-'--Paul ReeveOwner