PEDESTRIAN INCENTIVE PROGRAM
Application and Usage Agreement

 

Yolo TMA
P. O. Box 969
Woodland, CA 95776

The undersigned commuter, a qualified applicant, applies for the pedestrian incentive program administered by the Yolo TMA. The Rideshare Incentive Program (TRIP) will provide a financial incentive of $10 per month for three months to the first twenty (20) commuters who park their SOV and walk a minimum of one (1) mile each way during their daily commute. To qualify, participants need to walk at least fifty percent (50%) of their commute distance per month.  

TRIP participants who stay with their walking program for a period of one year and use their rideshare alternative at least ten (10) days per month, will receive a bonus incentive of $50 and a $50 gift certificate from a local shoe store of the TMA’s choice. 

Name:
________________________________________________________________________

Employer Name:
_______________________________________________________________

Commuter's residential address:
_____________________________________________________

_____________________________________________________

Work phone number:  ______________Email address:_____________________________________

Walker's usual commute mode prior to applying for vanpool incentive (select one):
 

____Carpool  ____Vanpool
____Transit ____Walk
____Bicycle  ____Telecommute
                                                                       ____Drive Alone 

Total one-way commute miles:  _____________

Approximate number of other walking trips taken per week? ________ 

Briefly explain why you're interested in walking as a form of commuting:

 

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

I understand that the Pedestrian Incentive Program shall terminate upon depletion of program funding or by a decision of the Yolo TMA Board of Directors.  The Yolo TMA shall be under no obligation to honor requests received following the depletion of program funding or termination of the program.

The participant agrees to complete a Survey at the end of each month for three months, as well as a follow-up annual survey if applying for the one-year bonus. In the event any of these terms are not met, the incentive shall be returned to the Yolo TMA.

Commuter agrees to notify TMA if the commuter's residential address or worksite changes.

Commuter agrees to defend, indemnify and hold harmless the Yolo TMA and Yolo-Solano AQMD, their officers, agents, employees and volunteers from any and all losses, costs, damages, fines or expenses (including attorney fees, court costs and expert fees) or liability of any kind or character to any person or property arising from, or alleged to arise from, any breach of the responsibilities required of the participant by this Agreement or which are related in any way to the vanpool incentive program or other incentives received.
 

Name of Pedestrian Commuter
 

(printed):_____________________________________________

Signature of Commuter

________________________________________________ Date: __________

Signature of Employee Transportation Coordinator:

_____________________________________________      Date: __________