Emission Reduction Plan

Which Plan Year Are You Submitting For?

Plan Year

July 1, 2019 - June 30, 2020 (FY19-20)

Mailing Address (All correspondence will go to this address)

Name of Recipient	---
Mailing Address (Street, Suite, City, State, Zip)	---

Employee Transportation Coordinator (ETC)

ETC Name	---
ETC Title	---
ETC Email	---
ETC Phone	---
Best way to reach me	---
Please upload a scanned copy of your ETC certification	---
Who provided the ETC certification?	---
Date of ETC Certification	---

Highest Ranking Official

Highest Ranking Official Name	---
Highest Ranking Official Title	---
Highest Ranking Official Email	---
Highest Ranking Official Phone	---

Secondary Contact

Name	---
Title	---
Email	---
Phone	---

Overview

Which industry best describes your organization?	Technology
How many total employees do you have for all worksites in Santa Monica?	34

Worksite #1

Business Name	---
Site ID	---
Address (Street, Suite, City, Zip)	---
How many employees work at this location?	---
How many of the employees working at this location live in Santa Monica?	---

Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?

Big Blue Bus

Rapid 7, 8, 16, 44

Which of these services and amenities are available at your worksite?

Check all that apply

Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite

Applicability

Do you have 50 or more employees?

No

Survey Week

Survey Start Date	---
Survey End Date	---

Minimum Survey Response Rate

How many employees arrive or depart in the Morning Commute Window?	---
How many employees arrive or depart in the Evening Commute Window?	---

Average Vehicle Ridership Target

What is your AVR target?

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