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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ETC Phone Extension |
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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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Highest Ranking Official Phone Extension |
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Secondary Contact
Name |
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Title |
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Email |
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Phone |
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Phone Extension |
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Worksite Information
Overview
Which industry best describes your organization? |
Transportation
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How many total employees do you have for all worksites in Santa Monica? |
93
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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?
Which of these services and amenities are available at your worksite?
Check all that apply |
Bike Racks
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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 cannot reduce the amount of parking spaces we have in our lease agreements.
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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? |
No
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Reduce Vehicle Emissions
How will you reduce your vehicle emissions this year? |
Increase the number of people walking, biking, riding transit and carpooling to work
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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., Distribute quarterly flyers, announcements, and memos about transportation, Host focus groups to discuss increasing sustainable transportation
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Basic Support Strategies
Basic Support Strategies
Select 4 more Basic Support Strategies. |
Rideshare Matching Support, Flexible Hours, Public Transit Introduction, Worksite Access Information
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Guaranteed Ride Home (Mandatory)
How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar
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Do you use Metro's Guaranteed Ride Home Program? |
No
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Rideshare Matching Support
How will you provide the ride matching service? |
Employer-based system
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When do you match employees? |
On Demand/As Needed
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Flexible Hours
Within how many minutes can employees start/leave from their official shift time? |
90
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Can employees start and/or leave at their own discretion? |
Yes
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Public Transit Introduction
Which type of transit pass will you provide your employees? |
Round Trip
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Worksite Access Information
Describe the materials where you will add worksite access information |
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Direct Strategies
Direct Strategies
Select 5 Direct Strategies. |
Parking Management, Telecommuting, Compressed Work Week, Secure Bike Parking, Bicycle Program
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Parking Management
Do you offer parking cash out? |
Yes
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How will you regulate the use of parking facilities? |
Gated access key card
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Describe the process for requesting employee parking. |
We lease our parking spaces from parking mgmt, and our number of spaces are unable to be reduced in our lease.
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Transit Pass Program
In which of the following programs are you currently enrolled or intend on enrolling in? |
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Telecommuting
How many days per week can employees telecommute? |
2
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How many employees are eligible to participate? |
22
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How many employees currently participate? |
17
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How many employees do you project will participate? |
20
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Describe your telecommute program. |
Several Departments in our office allow for telecommuting two or more days a week, which makes commuting to work easier for some of our employees.
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Compressed Work Week
Which types of schedules can employees choose from? |
9/80, 4/40
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How many employees are eligible to participate? |
8
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How many employees currently participate? |
6
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How many employees do you project will participate? |
6
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Describe your compressed work week program. |
A group within our engineering dept is able to offer some employees the option of a compressed work week if they wish to do so.
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Secure Bike Parking
Describe the secured bike parking area. |
There is a bike rack in our parking lot, and we have a few bike locks for employees to use.
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Bicycle Program
How many trips does the employee need to complete to receive this incentive? |
10
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What kinds of incentives will you offer the bicyclists? |
Bicycle Partner Matching, Tools or Repair Kits
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What is the average value of your incentives? |
$120.00
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Describe your bicycle program. |
We will supply bike repair kits, spare tires, etc. to employees who bike to work.
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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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