Emission Reduction Plan

Select the date when your Emission Reduction Plan is due.

What month is your plan due?

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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	---

Secondary Contact

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

Overview

Which industry best describes your organization?	Other
If other, please describe:	---
How many of your employees work in Santa Monica?	220

Worksite #1

Organization Name	---
Site ID	218547
address	2951 28th St, Santa Monica, CA 90405-2961
How many employees work at this location? (If you only have one worksite, this number is the same as above)	---
How many of the employees working at this location are Santa Monica residents?	---
Would you like to add a second worksite?	---

Worksite #2

Would you like to add a third worksite?

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Worksite #3

Would you like to add a fourth worksite?

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Worksite #4

Would you like to add a fifth worksite?

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

Big Blue Bus

8

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

Check all that apply

Locker Rooms or Showers, Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite

Applicability

Do your employees park for free?	---
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?

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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 (Most Popular)

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?	---

Select the plan year

Plan Year

2019-2020