Points Of Contact
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 |
---
|
Highest Ranking Official Phone Extension |
---
|
Secondary Contact
Name |
---
|
Title |
---
|
Email |
---
|
Phone |
---
|
Phone Extension |
---
|
Worksite Information
Overview
Which industry best describes your organization? |
Food/Bar
|
How many total employees do you have working in Santa Monica for all locations listed below? |
88
|
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? |
---
|
Parking Cash Out Program
Applicability
Do you have 50 or more employees? |
Yes
|
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? |
---
|
Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Big Blue Bus |
1, 2, 5, 7, Rapid 7, 8, Rapid 10, 18
|
Metro |
4, 704 Rapid, 33, 733 Rapid, 534
|
Which of these services and amenities are available at your worksite?
Check all that apply |
Bike Lockers or Secure Area, Bike Racks
|
Average Vehicle Ridership
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? |
---
|
Average Vehicle Ridership Results
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? |
Increase the number of people walking, biking, riding transit and carpooling to work
|
Marketing Strategies
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, Send direct encouragement from the CEO
|
Basic Support Strategies
Basic Support Strategies
Select 4 more Basic Support Strategies. |
Rideshare Matching Support, Commute Assistance, Transportation Information Center, Public Transit Introduction
|
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? |
Employer-based system
|
When do you match employees? |
On Demand/As Needed
|
Commute Assistance
Employer will (check all that apply) |
Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information
|
Transportation Information Center
Upload a photo of your Transportation Information Center |
|
Public Transit Introduction
Which type of transit pass will you provide your employees? |
Other Stored Value
|
If applicable, how much stored value will you provide? |
$5.75
|
Direct Strategies
Direct Strategies
Select 5 Direct Strategies. |
Transit Pass Program, Secure Bike Parking, Prize Drawings, Free Meals, Daily Cash Incentive
|
Compressed Work Week
Which types of schedules can employees choose from? |
|
Transit Pass Program
In which of the following programs are you currently enrolled or intend on enrolling in? |
Metro A-Tap
|
Time Off With Pay
Eligible employees include those who commute by |
Walk, Bike, Public Transit, Carpool/Vanpool, Telecommute, Zero Emission Vehicle, Skate/Scoot
|
Secure Bike Parking
Describe the secured bike parking area. |
Gated storage area behind building with space designated for bicycles.
|
Upload a picture of your secure bike parking area. |
|
Prize Drawings
How many trips does the employee need to complete to receive this incentive? |
15
|
Prize #1 Description |
Amazon Gift Card
|
Prize #1 Value |
$50.00
|
Prize #1 Quantity |
4
|
Prize #1 Raffle Frequency |
Quarterly
|
Describe your prize drawing program. |
Program participants will receive 1 raffle entry for completing 15 sustainable round-trips per month.
|
Bicycle Program
How many trips does the employee need to complete to receive this incentive? |
00
|
What kinds of incentives will you offer the bicyclists? |
Bicycle Partner Matching
|
What is the average value of your incentives? |
$0.00
|
Gift Cards
How many trips does the employee need to complete to receive this incentive? |
|
Gift Card Vendor(s) |
|
Gift Card Value |
|
Frequency Given |
Annual
|
Free Meals
How many trips does the employee need to complete to receive this incentive? |
15
|
Meal Vendor(s) |
BOA Santa Monica
|
Meal Value |
$10.00
|
Frequency Given |
Monthly
|
Describe your free meal program. |
Program participants will be given a free meal from the restaurant for completing 15 sustainable round-trips each month.
|
Daily Cash Incentive
Public Transit |
$1.00
|
Walk |
$1.00
|
Bike |
$1.00
|
Carpool |
$1.00
|
Vanpool |
$1.00
|
Describe your direct cash incentive program. |
Program participants will receive $1 for each round-trip ticket. Participants track their trips monthly.
|
Management Commitment
Management Commitment Letter Upload
Feedback
How did we do?
Was this website easy to use? |
---
|
Are the requirements for employers clear? |
---
|
How can we improve? |
---
|