Select Your Plan Year
Which Plan Year Are You Submitting For?
| Plan Year |
July 1, 2018 - June 30, 2019 (FY18-19)
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Points Of Contact
Mailing Address (All correspondence will go to this address)
| Name of Recipient |
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| Mailing Address (Street, Suite, City, State, Zip) |
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Employee Transportation Coordinator (ETC)
| ETC Name |
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| ETC Title |
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| ETC Email |
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| ETC Phone |
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| Best way to reach me |
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| Please upload a scanned copy of your ETC certification |
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| Who provided the ETC certification? |
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| Date of ETC Certification |
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Highest Ranking Official
| Highest Ranking Official Name |
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| Highest Ranking Official Title |
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| Highest Ranking Official Email |
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| Highest Ranking Official Phone |
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Worksite Information
Overview
| Which industry best describes your organization? |
Retail
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| How many total employees do you have for all worksites? |
71
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Worksite #1
| Business Name |
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| Site ID |
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| Address (Street, Suite, City, Zip) |
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| How many employees work at this location? |
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| How many of the employees working at this location live in Santa Monica? |
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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
| Big Blue Bus |
1, 2, Rapid 3, 5, 7, Rapid 7, 8, 9, Rapid 10, 18
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| Metro |
Expo Rail, 4, 704 Rapid, 20, 720 Rapid, 33, 733 Rapid, 534
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Which of these services and amenities are available at your worksite?
| Check all that apply |
Locker Rooms or Showers, Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite, Bike Repair Kit, Bike Tire Pump
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Parking Cash Out Program
Applicability
| Do you have 50 or more employees? |
Yes
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Exemptions
| You may be exempt if (check all that apply) |
We do not own or lease any parking spaces.
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Parking Details
| How many parking spaces does your worksite lease? |
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| What is the monthly cost per parking space leased? |
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| How much, if at all, do you charge employees for parking? |
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| How many employees receive cash in lieu of parking? |
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Survey Set up
Survey Week
| Survey Start Date |
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| Survey End Date |
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Minimum Survey Response Rate
| How many employees arrive or depart in the Morning Commute Window? |
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| How many employees arrive or depart in the Evening Commute Window? |
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Average Vehicle Ridership Target
| What is your AVR target? |
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Average Vehicle Ridership Results
AVR Attainment
| Are both your AM and PM AVR equal to or greater than your AVR target? |
Yes
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Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
Organize a Try Transit or group bike ride event for interested staff, twice per year., Post transportation information on your website, Recognize employees who commute without their car in company-wide communication.
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Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
Commuter Choice Program, Commute Assistance, Worksite Access Information, Other Basic Strategy #1
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Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Supervisor/Co-Worker
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| Do you use Metro's Guaranteed Ride Home Program? |
No
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Commuter Choice Program
| There are companies that will help implement this program for you. Will you partner with the following? |
WageWorks
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Commute Assistance
| Employer will (check all that apply) |
Identify bicycle and pedestrian routes, Provide follow-up assistance and maintain the commute program
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Worksite Access Information
| Describe the materials where you will add worksite access information |
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Other Basic Strategy #1
| Other Strategy #1 |
Bike/public transit incentive punch card
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Secure Bike Parking, Bicycle Program, Point Program, Other Direct Strategy # 1, Other Direct Strategy #2
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Parking Management
| Do you offer parking cash out? |
No
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| How will you regulate the use of parking facilities? |
Other
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| Describe the process for requesting employee parking. |
We do not offer parking at all.
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Secure Bike Parking
| Describe the secured bike parking area. |
Bike racks located behind locked door in employee only a
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Bicycle Program
| How many trips does the employee need to complete to receive this incentive? |
1
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| What kinds of incentives will you offer the bicyclists? |
Tools or Repair Kits, Repair Services, Lockers/Racks/etc.
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| What is the average value of your incentives? |
$20.00
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| Describe your bicycle program. |
Staff can utilize our bike shop and tools to repair their bikes on their off time.
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Point Program
| Reward #1 Description |
Every 20 times an employee commutes using bike/public transit/carpool, they receive 10% coupon
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| Reward #1 Value |
$10.00
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| Points needed to redeem Reward #1 |
20
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| Reward #2 Description |
Every 100 times an employee commutes using bike/public transit/carpool they receive a $10 gift card
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| Reward #2 Value |
$10.00
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| Points needed to redeem Reward #2 |
100
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| Describe your point program. |
1 point per employee commute using bike/public transit/carpool. Redeemable at 20 or 100 for prizes.
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Other Direct Strategy #1
| Describe Other Strategy #1 |
Transit Subsidy program - REI will cover 50% of your transit purchase up to the monthly IRS pre-tax limit. You’ll have a once per month payroll deduction for your portion of your order amount. If your order exceeds the monthly pre-tax limit, the remainder will be taken post-tax.
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Other Direct Strategy #2
| Describe Other Strategy #2 |
Ride Share Subsidy Program - REI will cover 50% of your ride share purchase up to the monthly IRS pre-tax limit. You’ll have a once per month payroll deduction for your portion of your order amount. If your order exceeds the monthly pre-tax limit, the remainder will be taken post-tax.
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Management Commitment
Management Commitment Letter Upload
Discounts
Discounts
| Have you reached your AVR Target multiple years in a row? If yes, you get a discount! Select an option from the drop-down menu. |
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| Did you pay for a TMO Membership? |
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Feedback
How did we do?
| Was this website easy to use? |
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| Are the requirements for employers clear? |
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| How can we improve? |
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