Emission Reduction Plan

Which Plan Year Are You Submitting For?

Plan Year

July 1, 2018 - June 30, 2019 (FY18-19)

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	---
ETC Phone Extension	---
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	---

Overview

Which industry best describes your organization?	Health
How many total employees do you have for all worksites in Santa Monica?	45

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	1, 2, Rapid 3, 5, 7, Rapid 7, 8, 9, 16
Metro	Expo Rail, 4, 704 Rapid, 20, 720 Rapid, 33, 733 Rapid

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

Check all that apply

Locker Rooms or Showers

Applicability

Do you have 50 or more employees?

Yes

Exemptions

You may be exempt if (check all that apply)

The entire cost of our parking spaces is included in our building lease.

Parking Details

How many parking spaces does your worksite lease?	---
What is the monthly cost per parking space leased?	---
How much, if at all, do you charge employees for parking?	---
How many employees receive cash in lieu of parking?	---

Parking Lease Agreement

Parking Lease

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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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AVR Attainment

Are both your AM and PM AVR equal to or greater than your AVR target?

Yes

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, Send direct encouragement from the CEO

Basic Support Strategies

Select 4 more Basic Support Strategies.

Commute Assistance, Public Transit Introduction, Other Basic Strategy #1

Guaranteed Ride Home (Mandatory)

How will you provide the Guaranteed Ride Home?	Uber, Lyft, or Similar
Do you use Metro's Guaranteed Ride Home Program?	No

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

Other Basic Strategy #1

Other Strategy #1

Include public transportation information in orientation training

Direct Strategies

Select 5 Direct Strategies.

Prize Drawings, Bicycle Program, Gift Cards

Prize Drawings

How many trips does the employee need to complete to receive this incentive?	4
Prize #1 Description	Public transit gift card
Prize #1 Value	$200.00
Prize #1 Quantity	4
Prize #1 Raffle Frequency	Quarterly
Prize #2 Description	Helen's Bike Shop Gift Card
Prize #2 Value	$200.00
Prize #2 Quantity	4
Prize #2 Raffle Frequency	Quarterly
Describe your prize drawing program.	We will do a public transit gift card OR a Helen's Bike Shop gift card QUARTERLY (depending on who wins the raffle). All staff members who use public transit, bike or walk to work for the majority of their shifts will be entered. They will choose which gift card they want

Bicycle Program

How many trips does the employee need to complete to receive this incentive?	4
What kinds of incentives will you offer the bicyclists?	Gift Certificate
What is the average value of your incentives?	$10.00
Describe your bicycle program.	$10 monthly gift card to Helen's Bike Shop monthly for any staff member who bikes to work for the majority of their scheduled shifts.

Gift Cards

How many trips does the employee need to complete to receive this incentive?	4
Gift Card Vendor(s)	Hot 8 Y
Gift Card Value	$10.00
Frequency Given	Monthly
Describe your gift card program.	$10 gift card to Hot 8 Yoga given to any staff member who uses public transit, bikes or walks to work for the majority of their scheduled shifts.

Management Commitment Letter Upload

Commitment Letter

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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.	---
Did you pay for a TMO Membership?	---

How did we do?

Was this website easy to use?	---
Are the requirements for employers clear?	---
How can we improve?	---