Emission Reduction Plan (Beta)

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	---
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?

Food/Bar

Worksite #1

Site Name	---
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?	---

Worksite #2

Site Name

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Management Commitment Letter Upload

Commitment Letter

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Parking Cash Out

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?	---

You may be exempt if:

Check all that apply

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

Big Blue Bus	18, 41-42
Metro	720 Rapid

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

Check all that apply

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

Survey Week

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

Minimum Survey Response Rate

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

Average Vehicle Ridership Target

What is your AVR target?

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