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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| ETC Phone Extension |
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| Best way to reach me |
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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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| Highest Ranking Official Phone Extension |
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Worksite Information
Overview
| Which industry best describes your organization? |
Retail
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| If other, please describe: |
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| How many total employees do you have for all worksites? |
35
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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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Parking Cash Out Program
Applicability
| Do you have 50 or more employees? |
No
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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Which of these services and amenities are available at your worksite?
| Check all that apply |
Locker Rooms or Showers
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Survey Set up
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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Average Vehicle Ridership Results
AVR Attainment
| Are both your AM and PM AVR equal to or greater than your AVR target? |
No
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Reduce Vehicle Emissions
| How will you reduce your vehicle emissions this year? |
Purchase Mobile Source Emission Reduction Credits
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Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
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Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
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Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar
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| Do you use Metro's Guaranteed Ride Home Program? |
No
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Rideshare Matching Support
| How will you provide the ride matching service? |
Employer-based system
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| When do you match employees? |
During new hire orientation, Company-wide survey
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Commute Assistance
| Employer will (check all that apply) |
Identify bicycle and pedestrian routes, Provide follow-up assistance and maintain the commute program
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Transportation Information Center
Public Transit Introduction
| Which type of transit pass will you provide your employees? |
1-Day
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
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Secure Bike Parking
| Describe the secured bike parking area. |
Santa Monica City will install installing bike racks in front of the store.
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Prize Drawings
| How many trips does the employee need to complete to receive this incentive? |
12
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| Prize #1 Description |
oo
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| Prize #1 Value |
$10.00
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| Prize #1 Quantity |
10
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| Prize #1 Raffle Frequency |
Quarterly
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| Prize #2 Description |
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| Prize #2 Value |
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| Prize #2 Quantity |
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| Prize #2 Raffle Frequency |
Quarterly
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| Describe your prize drawing program. |
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Gift Cards
| How many trips does the employee need to complete to receive this incentive? |
12
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| Gift Card Vendor(s) |
nh
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| Gift Card Value |
$10.00
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| Frequency Given |
Quarterly
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| Describe your gift card program. |
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Free Meals
| How many trips does the employee need to complete to receive this incentive? |
12
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| Meal Vendor(s) |
ii gbxb
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| Meal Value |
$10.00
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| Frequency Given |
Quarterly
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| Describe your free meal program. |
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Other Direct Strategy #1
| Describe Other Strategy #1 |
ii
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Mobile Source Emission Reduction Credits
Vendor Details
Management Commitment
Management Commitment Letter Upload
Feedback
How did we do?
| Was this website easy to use? |
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| Are the requirements for employers clear? |
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| How can we improve? |
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