Select Your Plan Year
Which Plan Year Are You Submitting For?
| Plan Year |
July 1, 2019 - June 30, 2020 (FY19-20)
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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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Secondary Contact
| Name |
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| Title |
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| Email |
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| Phone |
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Worksite Information
Overview
| Which industry best describes your organization? |
Technology
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| How many total employees do you have for all worksites in Santa Monica? |
350
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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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Add another worksite
| Would you like to add a second worksite? |
No
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Add another worksite
| Would you like to add a third worksite? |
No
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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
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| Metro |
4, 704 Rapid, 20, 720 Rapid
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Which of these services and amenities are available at your worksite?
| Check all that apply |
Uber or Lyft Corporate Account, 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) |
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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 |
Post transportation information on your website, Distribute quarterly flyers, announcements, and memos about transportation, 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. |
Preferential Parking, Flexible Hours, Commute Assistance, Transportation Information Center
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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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Commuter Choice Program
| There are companies that will help implement this program for you. Will you partner with the following? |
No, we will implement ourselves.
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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? |
During new hire orientation
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Preferential Parking
| How many spaces will you reserve for carpools/vanpools? |
50
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| How many persons per vehicle required to be eligible? |
2
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| What is the minimum number of trips per week to be eligible? |
4
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| Can employees carpool with people from other companies? |
No
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Flexible Hours
| Within how many minutes can employees start/leave from their official shift time? |
30
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| Can employees start and/or leave at their own discretion? |
Yes
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Commute Assistance
| Employer will (check all that apply) |
Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information, Provide follow-up assistance and maintain the commute program
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Transportation Information Center
| Upload a photo of your Transportation Information Center |
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Public Transit Introduction
| Which type of transit pass will you provide your employees? |
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| If applicable, how much stored value will you provide? |
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Parking Management, Transportation Allowance, Transit Pass Program, Telecommuting, Secure Bike Parking
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Parking Charge
| How much will your employees pay for parking? |
$200.00
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| Do you reduce/subsidize the parking fee? |
Yes
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| If you subsidize parking, how much is the subsidy? |
$100.00
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| How many employees currently particpate? |
220
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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? |
Hang tag/sticker
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| Describe the process for requesting employee parking. |
Employees are not defaulted to parking but must take an extra step to email our office manager and request a parking spot.
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Transportation Allowance
| How much is the allowance? |
$100.00
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| How often is the allowance given? |
Per month
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| Describe your transportation allowance program. |
PatientPop covers $100 in transportation costs for any employee that chooses to utilize this program
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Transit Pass Program
| In which of the following programs are you currently enrolled or intend on enrolling in? |
Metro A-Tap
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| Upload proof of enrollment in one of the programs listed above. (E.g. registration documents, email, or receipt.) |
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| Describe your transit pass program. |
We have a corporate TAP account where we provide and reload tap cards for our employees. We give them $110 per month to be used on metro expenses.
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Telecommuting
| How many days per week can employees telecommute? |
1
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| How many employees are eligible to participate? |
350
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| How many employees currently participate? |
250
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| How many employees do you project will participate? |
250
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| Describe your telecommute program. |
We have a company policy that allows employees to telecommute as needed with an average around 3-4 days per month. Some employees telecommute 4-5 days per week (about 50) while others are only 1 day per week.
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Bike Share Subscription
| Which plan did you choose? |
Partial Staff Package: Individual subscriptions are 20% off
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Secure Bike Parking
| Describe the secured bike parking area. |
We provide bike parking in our gated parking garage.
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| Upload a picture of your secure bike parking area. |
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Bicycle Program
| How many trips does the employee need to complete to receive this incentive? |
20
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| What kinds of incentives will you offer the bicyclists? |
Shoes, Clothing, Helmets, etc., Tools or Repair Kits, Discounts at Local Shops, Lockers/Racks/etc.
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| What is the average value of your incentives? |
$120.00
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| Describe your bicycle program. |
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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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