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	---

Secondary Contact

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

Overview

Which industry best describes your organization?	Technology
How many total employees do you have for all worksites?	80

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?	---

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?

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?	---

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

Big Blue Bus	2, Rapid 3, 9
Metro	4, 20, 733 Rapid

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

Check all that apply

Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite, Bike Repair Kit, Bike Tire Pump

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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