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	---

Secondary Contact

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

Overview

Which industry best describes your organization?	Health
How many total employees do you have for all worksites in Santa Monica?	51

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?	---

Add another worksite

Would you like to add a second worksite?

Yes

Worksite #2

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?	---

Add another worksite

Would you like to add a third worksite?

No

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

Big Blue Bus	2, 43
Metro	20, 720 Rapid

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

Check all that apply

Zip Car, Bike Racks, Bikes Permitted Inside Worksite

Applicability

Do you have 50 or more employees?

Yes

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?

---

AVR Attainment

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

No

Reduce Vehicle Emissions

How will you reduce your vehicle emissions this year?

Purchase Mobile Source Emission Reduction Credits

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.

Basic Support Strategies

Select 4 more Basic Support Strategies.

Rideshare Matching Support, Flexible Hours, Commute Assistance, Public Transit Introduction, Worksite Access Information

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

Rideshare Matching Support

How will you provide the ride matching service?	Commute SM, Metro Rideshare
When do you match employees?	During new hire orientation, On Demand/As Needed

Flexible Hours

Within how many minutes can employees start/leave from their official shift time?	30
Can employees start and/or leave at their own discretion?	Sometimes

Commute Assistance

Employer will (check all that apply)

Assist in identifying park & ride lots, Provide follow-up assistance and maintain the commute program

Public Transit Introduction

Which type of transit pass will you provide your employees?

Other Stored Value

Worksite Access Information

Describe the materials where you will add worksite access information

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