Points Of Contact
Mailing Address (All correspondence will go to this address)
| Name of Recipient |
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| Mailing Address (Street, Suite, City, State, Zip) |
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Employee Transportation Coordinator (ETC)
| ETC Name |
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| ETC Title |
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| ETC Email |
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| ETC Phone |
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| Please upload a scanned copy of your ETC certification |
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| Who provided the ETC certification? |
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| Date of ETC Certification |
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Highest Ranking Official
| Highest Ranking Official Name |
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| Highest Ranking Official Title |
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| Highest Ranking Official Email |
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| Highest Ranking Official Phone |
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Secondary Contact
| Name |
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| Title |
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| Email |
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| Phone |
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Worksite Information
Overview
| Which industry best describes your organization? |
Health
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| How many total employees do you have working in Santa Monica for all locations? |
50
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Worksite #1
| Business Name |
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| Site ID |
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| Address (Street, Suite, City, Zip) |
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| How many employees work at this location? |
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| How many of the employees working at this location live in Santa Monica? |
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Add another worksite
| Would you like to add a second worksite? |
No
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Add another worksite
| Would you like to add a third worksite? |
No
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Parking Cash Out Program
Applicability
| Do you have 50 or more employees? |
Yes
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Exemptions
| You may be exempt if (check all that apply) |
The entire cost of our parking spaces is included in our building lease.
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Parking Details
| How many parking spaces does your worksite lease? |
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| What is the monthly cost per parking space leased? |
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| How much, if at all, do you charge employees for parking? |
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| How many employees receive cash in lieu of parking? |
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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
| Big Blue Bus |
2, Rapid 7, Rapid 10, 41-42
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| Metro |
Expo Rail
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Which of these services and amenities are available at your worksite?
| Check all that apply |
Bikes Permitted Inside Worksite
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Average Vehicle Ridership
Survey Week
| Survey Start Date |
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| Survey End Date |
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Minimum Survey Response Rate
| How many employees arrive or depart in the Morning Commute Window? |
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| How many employees arrive or depart in the Evening Commute Window? |
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Average Vehicle Ridership Target
| What is your AVR target? |
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