Emission Reduction Plan 2018-2019 (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	---

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?	62

Worksite #1

Business Name	---
DBA 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?	---

Add another worksite

Would you like to add a second worksite?

No

Add another worksite

Would you like to add a third worksite?

No

Applicability

Do you have 50 or more employees?

No

Exemptions

You may be exempt if (check all that apply)

The entire cost of our parking spaces is included in our building lease., We own all of our parking spaces and do not lease additional spaces in the City of Santa Monica.

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

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 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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