PUBLIC TRANSIT INCENTIVE PROGRAM Submit this request and a copy of your monthly transit purchase receipt for reimbursement to: This program is to promote new transit ridership. The undersigned commuter, a qualified applicant, applies for the public transit incentive program administered by the Yolo TMA and attaches a copy of the receipt for monthly public transit fare for reimbursement. Maximum reimbursement is $60 over a two-month period. The Rideshare Incentive Program (TRIP) provides a financial incentive of $30 per month for two months to twenty (20) commuters who change their SOV commute pattern and purchase a transit pass valid on local service (Yolobus, Sacramento Regional Transit, Unitrans, Para transit or Capitol Corridor/Amtrak). Only one service payment per rider is allowed. TRIP participants who stay with their public transit (bus) for a period of one year and use their rideshare alternative at least ten (10) days per month, will receive a bonus incentive $75 and a $25 certificate to a local bookstore chosen by the Yolo TMA. TRIP participants who stay with their public transit (train) for a period of one year and use their rideshare alternative at least ten (10) days per month, will receive a bonus incentive of $75 and a certificate for a weekend-day round-trip excursion for two to San Francisco (from either Sacramento or Davis) aboard Amtrak (value estimated at $25). Submitting an application does not guarantee selection to receive subsidy. Funding will be allocated to awardees based on available funds. The incentive will be awarded when the appropriate documentation has been verified by your Employee Transportation Coordinator and is received by the TMA. Qualifying modes of public transit include bus, train and/or light-rail. To be completed by the commuter: Name: Employer Name: Work phone number: ______________ Email address:_____________________________________ Purchaser's usual commute prior to applying for the public transit incentive (select one): ____Carpool ____Vanpool ____Transit ____Walk ____Bicycle ____Telecommute ____Drive Alone Purchaser's one-way commute miles: ________ Approximate number of public transit trips taken per week? _____ Briefly explain why commuter is interested in utilizing public transit:
I understand that the Public Transit 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 Usage Survey at the end of each month for the initial two months, and submit an annual report if qualified for the one-year bonus. In the event any of these terms are not met, the incentive shall be returned to the Yolo TMA. Purchaser 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 public transit incentive program or other incentives received. Commuter signature below verifies that they have read and understand, as well as agree to, comply with program policy, procedures and guidelines. Name of Commuter (printed):_______________________________________________ Signature of Commuter: __________________________________________________ Date: __________ Signature of Employee Transportation Coordinator:____________________________ Date: __________ |