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Mobility Share License
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Mobility Share License Application Form
LICENSE APPLICATION FOR MBTA MOBILITY SHARE PILOT PROGRAM
Enter your response to each question in the text boxes provided
Indicates a required field
Company Legal Name
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Massachusetts Business Registration
Is your company registered to do business in Massachusetts and is such registration in good standing?
Pilot participants must comply with safety regulations applicable to the equipment and technology offered. Describe the actions your company takes to ensure this compliance.
Does your company meet minimum insurance requirements of:
commercial general liability insurance in the amount of $1 million per occurrence; $2 million in aggregate;
automobile liability insurance in the amount of $1 million;
$10 million in umbrella coverage;
Railroad Protective Liability Policy endorsement (CG 24 17) as part of Commercial General Liability coverage.
My company meets the minimum insurance requirements
If not, please describe maximum company insurance coverage as is available per category.
Does your company currently provide customer support consistent with the MBTA’s requirements listed below?
24/7 customer support.
Ability to re-park or remove incorrectly parked devices within three (3) hours of notice on weekdays from 6:00 AM to 6:00 PM (not including holidays) and within twelve (12) hours of notice at all other times
Ability to remove any inoperable or unsafe device from MBTA property within twelve (12) hours of notice
Please describe how support is accessed and provided for customers and the MBTA for each requirement:
Please describe how you plan to come into compliance for customers and the MBTA for each requirement:
Pilot participants must agree to follow parking rules and regulations including, without limitation, that no mobility devices shall: (a) be placed on landscaping, (b) block building doors, (c) be placed inside stations, (d) block accessible paths including, without limitation, sidewalks, crosswalks, and curb cuts, (e) be placed in MBTA bicycle cages, and/or (f) be placed in parking spaces (unless otherwise designated for the purpose of this pilot).
What will your company do to ensure that you comply with this requirement?
Pilot participants must inform customers of how to appropriately park devices. Describe how your company will do this.
Pilot participants must highlight all bus stop and station parking areas in their app/mobile/desktop platforms. Describe how your company will do this and the time to implement.
Pilot participants must be a “good neighbor” to the municipalities in which the MBTA operates and comply with municipal rules and regulations. Please describe how your company currently does this and any specific plans associated with this application. Please note if you currently operate, or plan to operate, in the municipality or neighboring municipality of the MBTA transit station(s).
Pilot participants must agree to provide the following data to the MBTA in a format to be specified by the MBTA. For each data element described, indicate how your company collects and provides this data. If any technical development will be necessary to provide the MBTA with one or more specific data element, please detail your plans to do so. All data requirements pertain to trips that start or end within a quarter mile of an MBTA station (to include MBTA rapid transit, ferry, commuter rail, light rail or busway), whether or not that station is part of the pilot program. Data must use persistent, anonymized identifiers for individuals (no Personally Identifiable Information may be included).
Raw trip data including trip distance, trip origin and destination pairs, trip start and end time, and number of trips
Speed data for motored/electric devices
Number of trips to and from stations
Summary statistics (by day) provided once per month to include total number of trips and number of unique users
I agree to the data policy.
Pilot participants must agree to implement user surveys at three (3) month intervals, either using mobile platforms or email, with questions to be developed in conjunction with the MBTA to learn about trip chaining, trip replacement and first/last mile usage. Describe your current capabilities to meet this requirement.
Under-banked & Un-banked users
Provide your company’s plan regarding how your services will be available to those without smart phones or those who are under-banked or un-banked. If needed, you may summarize the plan in this space and provide full details as a separate attachment.
MBTA Location Preference
List here up to ten (10) MBTA locations in order of preference where your company proposes to launch and rebalance devices. Locations must be:
a combination of urban and suburban,
a combination of rapid transit, busways, ferry, and commuter rail
include Environmental Justice (“EJ”) communities visit:
MBTA location preferences
Describe the rate structures that will be offered to all users during the pilot including daily, monthly, or annual passes/subscriptions. This information should include but is not limited to: any discount programs offered that will be available for students, youth, low income/at-risk populations, corporate/company groups or other categories.
Please describe how you plan to communicate to potential customers about your service (e.g. street teams, marketing, etc.)
We confirm that this application has been prepared and is compliant with the application instructions and, if selected to participate in the Mobility Share Pilot Program, agree to conduct ourselves in accordance with all requirements.
Click here to certify that you are authorized to sign on behalf of and to bind the applicant to the provisions of this application.
Attach Files (Optional)
Please note: Only PDF files can be uploaded. The maximum file size allowed is 5mb per file. Larger files (those between 1mb – 5mb) may take a few moments to upload depending on your internet connectivity and other factors. Please look for the % upload complete indicator on each file to monitor your progress uploading files. Thank you.
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Accepted file types: pdf.
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