Emission Reduction Plan

Select the date when your Emission Reduction Plan is due.

Due Date

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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	---

Overview

Which industry best describes your organization?	Food/Bar
How many total employees do you have for all worksites in Santa Monica?	40

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, 9, Rapid 10
Metro	704 Rapid, 720 Rapid, 733 Rapid

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

Check all that apply

Bike Lockers or Secure Area, Bike Racks, Bike Tire Pump

Applicability

Do you have 50 or more employees?

No

Exemptions

You may be exempt if (check all that apply)

We do not own or lease any parking spaces.

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?	---

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

Attend a marketing class certified by the City of Santa Monica, Distribute quarterly flyers, announcements, and memos about transportation, Recognize employees who commute without their car in company-wide communication.

Guaranteed Ride Home (Mandatory)

How will you provide the Guaranteed Ride Home?	Uber, Lyft, or Similar, Supervisor/Co-Worker
Do you use Metro's Guaranteed Ride Home Program?	Yes

Direct Strategies

Select 5 Direct Strategies.

Secure Bike Parking, Bicycle Program, Gift Cards, Free Meals

Parking Management

Do you offer parking cash out?	No
How will you regulate the use of parking facilities?	Other
Describe the process for requesting employee parking.

Secure Bike Parking

Describe the secured bike parking area.

Bike area is located behind the restaurant in a gated area.

Bicycle Program

How many trips does the employee need to complete to receive this incentive?	10
What kinds of incentives will you offer the bicyclists?	Repair Services, Lockers/Racks/etc.
What is the average value of your incentives?	$15.00
Describe your bicycle program.	We will reimburse up to $25 for bicycle repair with receipt.

Gift Cards

How many trips does the employee need to complete to receive this incentive?	20
Gift Card Vendor(s)	The Misfit, BPO, BPT
Gift Card Value	$25.00
Frequency Given	Monthly

Free Meals

How many trips does the employee need to complete to receive this incentive?	20
Meal Vendor(s)	Ingo’s Diner
Meal Value	$15.00
Frequency Given	Monthly

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?	---

Select the plan year

Plan Year

2018-2019