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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| 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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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? |
Other
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| If other, please describe: |
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| How many total employees do you have for all worksites? |
33
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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? |
Yes
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Worksite #2
| 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 third worksite? |
No
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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?
| Big Blue Bus |
5, 7, 41-42, 43, 44
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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 |
Bike Lockers or Secure Area, Bikes Permitted Inside Worksite
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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? |
Increase the number of people walking, biking, riding transit and carpooling to work
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Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
Distribute quarterly flyers, announcements, and memos about transportation, Host focus groups to discuss increasing sustainable transportation, Send direct encouragement from the CEO
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Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
Preferential Parking, Flexible Hours, Public Transit Introduction, On-site Mobility Fleet
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Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Company Vehicle, Uber, Lyft, or Similar, Taxi, Supervisor/Co-Worker
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| Do you use Metro's Guaranteed Ride Home Program? |
No
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Preferential Parking
| How many spaces will you reserve for carpools/vanpools? |
2
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| How many persons per vehicle required to be eligible? |
2
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| What is the minimum number of trips per week to be eligible? |
1
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| Can employees carpool with people from other companies? |
Yes
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Flexible Hours
| Within how many minutes can employees start/leave from their official shift time? |
30
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| Can employees start and/or leave at their own discretion? |
Sometimes
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Public Transit Introduction
| Which type of transit pass will you provide your employees? |
1-Day
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| If applicable, how much stored value will you provide? |
$20.00
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On-Site Mobility Fleet
| Which of the following are available for employees to use at your worksite? |
Cars
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| Which of the following reasons may employees use the Mobility Fleet? |
Personal and Business Related Trips
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Transportation Allowance, Telecommuting, Compressed Work Week, Time Off With Pay, Secure Bike Parking, Free Meals, Vanpool Program
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Parking Management
| Do you offer parking cash out? |
No
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| How will you regulate the use of parking facilities? |
Other
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| Describe the process for requesting employee parking. |
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Transportation Allowance
| How much is the allowance? |
$100.00
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| How often is the allowance given? |
Per month
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| Describe your transportation allowance program. |
Transit is reimbursed. Employees purchase passes, then submit for receipts.
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Telecommuting
| How many days per week can employees telecommute? |
2
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| How many employees are eligible to participate? |
2
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| How many employees currently participate? |
2
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| How many employees do you project will participate? |
2
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Compressed Work Week
| Which types of schedules can employees choose from? |
4/40
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| How many employees are eligible to participate? |
2
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| How many employees currently participate? |
2
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| How many employees do you project will participate? |
2
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Time Off With Pay
| Eligible employees include those who commute by |
Walk, Bike
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| How many trips does the employee need to complete to receive this incentive? |
20
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| How much time off will the employee receive for completing the trip requirement? |
4
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Secure Bike Parking
| Describe the secured bike parking area. |
Locked RFID keyed warehouse
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Free Meals
| How many trips does the employee need to complete to receive this incentive? |
20
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| Meal Vendor(s) |
Earth Wind and Flour, Tacos Por Favor
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| Meal Value |
$10.00
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| Frequency Given |
Monthly
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Vanpool Program
| Who will provide the vanpool vehicles for your employees? |
Company-owned vans
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| Employer will provide (must choose at least one): |
Fuel
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| Approximate monthly value of incentive: |
$120.00
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| Describe your vanpool program. |
Company van
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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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