CITY OF WALTHOURVILLE Mayor Sarah B. Hayes Elected Officials City Administration Luciria L. Lovette, Mayor Pro Tem Nicolas Maxwell, Fire Chief Mitchell Boston Mrs. Ivy Norris, Finance Manager Patrick Underwood Christopher Reed, Police Chief Bridgette Kelly Mr. Dave Martin, Public Works Administrator Robert Dodd Mr. Luke R. Moses, City Attorney Mayor and Council Amended Regular Meeting Agenda (amended 04-21-2025 @ 9:39AM) April 22, 2025 @ 6:00 PM Walthourville Police Department I. Call to Order Mayor Sarah B. Hayes II. Roll Call City Clerk III. Invocation Appointee IV. Pledge ofAllegiance In Unison V. Adoption of Meeting Agenda Councilmembers VI. Adoption of Meeting Minutes Councilmembers April 8, 2025, Regular Meeting Minutes April 15,2025, GMA Meeting VII. Presentation(s) None VIII. Agenda Item(s) 1.1 LCPC Mr. Todd Kennedy Business License Request for a Bakery/Coffee Shop. 2. LCPC Mr. Todd Kennedy Business License Request for a Type B Home Occupation and a request for Type B Home Occupational Approval. 3. LCPC Mr. Todd Kennedy One Time Event Permit for 1St Annual SummerFest. 4. City ofWalthourville City of Walthourville GIRMA (Georgia Interlock Risk Management Agency) 2025-2025 Property and Liability Insurance Renewal. 5. City ofWalthourville Mayor and Council Millage/Rollback. IX. Department Comments City of Walthourville Water Department Mr. Patrick Golphin Fire Department Chief Nicolas Maxwell Police Department Chief Christopher Reed X. Citizens Comments Walthourville Citizens XI. Mayor's Update Mayor Sarah B. Hayes XII. Elected Officials' Comments City ofWalthourville Mayor Pro Tem Luciria L. Lovette Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember Robert Dodd XIII. Executive Session None XIV. Adjournment Mayor and Council When an Executive Session is warranted, it is called for the following: (Litigation, Personnel and Real Estate) - City of Walthourville Mayor and Council Meeting Minutes April 8, 2025 @ 6:00 PM Walthourville Police Department I. Call to Order: The meeting was called to order at 6:00 PM by Mayor Sarah B. Hayes II. Roll Call: The Roll was taken by the City Clerk and in addition to Mayor Hayes the following members were present: Mayor Pro Tem Luciria L. Lovette Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Robert Dodd The attendance ofthe Council constituted a quorum. Attorney Luke R. Moses was present. III. Invocation: The invocation was rendered by MayorHayes, IV. A Moment of Silence was observed in honor of the Fort Stewart Fallen Soldier who tragically lost their lives in Africa. V. The Pledge of Allegiance wasrecited inunison. VI. Adoption of Meeting Agenda: The Motion to approve was made by Mayor Pro Tem Lovette and the second was added by Councilmember Kelly. Vote: 5-0: Motion Carried. VII. Adoption of Meeting Minutes: March 25, 2025, Regular Meêting Minutes the motion to approve was made by Councilmember Boston and thesecond was provided by Councilmember Underwood. Vote: 4-1: Motion Passed. Councilmembers voting favorably were: Boston, Kelly, Underwood and Dodd. Councilmember Opposed: Mayor Pro Tem Lovette. March 25, 2025 Executive Session Meeting Minutes, the motion to approve was made by Councilmember Kelly and the second was added by Councilmember Boston. Vote: 4-1: Motion Passed. Councilmembers voting favorably were: Boston, Kelly, Underwood and Dodd. Councilmember Opposed: Mayor Pro Tem Lovette. VIII. Presentation(s). There were none. 1 IX. Agenda Item(s). 1. LCPC Mrs. Mardee Sanchez Mrs. Sanchez presented Boundary Hall Phase 1A Final Plat. She stated the developer is Liberty Properties and Holding Co, LLC (Dryden Enterprises). The Engineer for this project is T.R. Long Engineering and the property is located on Hardman Road. Phase 1A will consist of forty-four lots on 15.67 acres which will consist of single-family dwellings and will be zoned PUD. There will be forty-two Standard Lots consisting of minimum gross lot areas of 6,000 and 4,500 square feet. There will be two Garden Lots with a minimum gross lot areas of 4,500 and 4,000 square feet. Mrs. Sanchez added that there will be an HOA for the subdivision and the city will supply water and sewer. Certificate of occupancy and Letters ofcredit are required for this project and will be obtained. A lift station will be erected on the property. Certificates of occupancy will not be issued for any house in this phase until the fencing around the pondis installed. The City of Walthourville will not accept the dedication of the drainage easement for the pond until the entire pond has been platted. The motion to approve was made by Councilmember Kelly and the second was added by Mayor Pro Tem Lovette. Vote: 5-0: Motion Passed Unanimously. 2. City of Walthourville Mayor and Council Sewer Tap in Fees. The city'scurrent tapi in fee is $5,420.00 and with the rapid construction growth and labor cost associated with tap in fèes the fee needs to be increased. They discussed when the new fee would increase and who would begrandfatheredin at the old rate. The new tap in fee will be $8500.00 (Sewer $5800.00 + Two-inch line $2750 = $8500.00). The motion to increase the tap in fees effectiveimmediately for any construction that is not platted was made by Councilmember Dodd and the second was added by Coundilmember Kelly. Construction that has been approved with a final plat tapproved by the Mayor and' Council will cost $5,420.00. Vote: 5-0: Motion Passed Unanimously. 3. City ofWalthouryille Mayor and Council Millage. Mayor Hayes stated she spoke with the Liberty Tax Commissioner, Mr. James Sharp, and hewill charge the citya two percent fee to collect the property tax. She added that it is the standard rate thât is being charged to Hinesville. Attorney Moses will be drafting the contract that will be sent to thè County. No action was taken as this was an informational update item. X. Department Comments City of Walthourville Water Department Mayor Sarah B. Hayes Reported on April 7th, ? there were 362 disconnects for non-payment. Ofthe 362 disconnects 79 of those were Senior Citizens. The Water Department restores services when the bill is paid. Payment arrangements were only made by Elected Officials, Mayor Hayes and Councilmembers Kelly and Underwood. The city staff was given directions at the March 25, 2025 meeting to disconnect anyone that had a balance of$30.00 or more and no payment arrangements. Attorney Moses stated from a legal perspective, elected officials did not need to be involved in making payment arrangements. 2 Fire Department Chief Nicolas Maxwell Reported that the Fire Department had answered 38 calls since March 25, 2025. They responded to twenty-nine medical calls, four fire related calls, five miscellaneous calls. He urged everyone to be cautious when burning. Police Department ChiefChristopher Reed Reported that the department had issued 70 tickets since March 25, 2025. He added the fine in the State of Georgia for passing or non-adherence to a school bus stop sign was $1,000.00. He further added that if there is no physical divider in the highway to separate the lanes, traffic in both directions must stop for the school bus. The department wants to offer the Citizens Academy again, but the number has been low for citizens wanting to participate. The Citizens Academy class consists of twelve weeks. The next Neighborhood Watchmeeting will be held on April 24, 2025, at 6:30 PM at the Police Department. Lastly, he urged citizens to please call 911 if they need the police, please do not call the Police Department The Police Department's office is not staffed 24 hours a day and could result in a citizen not-being assisted. Chief Reed gave the non-emergency number for citizens to call, which is 912-368-9311. Also, he stressed to citizens to lock their vehicles, there has been an increase in entering autos. Senior Citizens Bingo is held on the third Friday ofeach month. XI. Citizens Comments: Three Minutes Walthourville Citizens 1. Ms. Sylvia Boyd, stated she was upset about the disconnects. She arrived home from work on April 7th and her water was off. She stated she is a Senior Citizen and on a fixed income. She stated the Water Bills are too high. 2. Ms. Brenda Withers, stated she wanted to Thank who put the sand out at her home. She is very appreciative. Also, she is a Senior Citizen and is concerned about the water bills. 3. Mr. Hakeem Cleare, stated heappreciate the sând also, that was placed on his road. He was alarmed by the number ofSenior Citizens that had their services interrupted. He added the city needed to have a resource forthe Seniors. 4. Ms. Sherry Baker stated she wanted to address the Senior Disconnects. She said Georgia Power makes exceptions, and they have a program for Seniors. She added that perhaps the city could look at giving the Seniors an extension. She urged the Elected Officials to show some grace. She said they were plaçed in an office to work for the people, and she encouraged them to find some resources to assist their constituents. XII. Mayor's Update Mayor Sarah B. Hayes She reported that Earth Day sponsored by Keep Liberty Beautiful would be observed on Saturday April 12, 2025, and she will be representing the city. On Saturday April 26th, 2025, the city will have the Great American Cleauip. This event is historic because for the first time in history, three municipalities are working together. The Cities of Allenhurst, Flemington and Walthourville will join forces. The event will be held at Johnnie Frasier Park on Shaw Road.. Also, April is Autism Awareness Month and on April 26th after the cleanup from 12 PM-2:00 PM, there will be an Autism Awareness event. Also, the GMA District 12 Meeting will be held on April 15, 2025, at the Performing Arts Center. After the District 12 Meeting, Mrs. Pam Helton with GMA will meet with the Mayor and Council at 6:00 PM at the Police Department. 3 XIII. Elected Officials' Comments Mayor Pro Tem Lovette stated she appreciated everyone who checked on her when she was out oft town attending her son's promotion ceremony. He was promoted to the rank ofColonel in the United State Army. Councilmember Boston stated he had an idea to put the city's TSPLOST Funds into an account that bears interest. He received the Master Billing List that he requested, and he also wanted to obtain the Master Billing Registry for March. He asked, Ms. Moss when could he expect it. She replied, ?7 after the billing was completeland submitted electronically." ?7 She added that meters were read on Saturday April 5th, and the billing was being compiled. He addressed the city's garbage truck and stated that it wasj just sitting as well as the grapple truck. He added that he had both trucks inspected, the garbage and grapple truck. The Grapple Truck needs repairs due to the malfunction of the boom arm on the truck. He said the repairs on that truck would cost $10,000. The grapple truck isa single axle unit,and it has a Mercedes engine. He added that the Trash Truck, the city could easily get $125,000and. Atlantic Waste wasi interested in purchasing the truck. Selling this truck would eliminate the $80,000+ payment that is owed. Attorney Moses said, "we cannotj just sellit,ithasto go through a bid process. "The bid process can consist of 1. Live Auction, 2. Sealed Bids and 3 GovDeals. Councilmember Boston stated GovDeals charges too much for their fees. The Motion to amend the agenda, sell the garbage truck by conducting a live auction on the steps ofCityHall on May 15 at noon wasn madeby Councilmember Boston and the second was added by Mayor Pro Tem Lovette. Vote: 5-0: Motion Passed Unanimously. Attorney Moses will prépare the advertisement for the Coastal Courier. Councilmember Underwood stated, "T don't care who this offends, citizens you must pay your water bills, if your bill is not paid, you will be disconnected." He added on April 19, 2025, from 12:00 PM-1:00 PM there will be an Easter Egg Hunt at Johnnie Frasier Park on Shàw Road. Everyone is invited to come and participate. Lastly, he read the following and it is listed below in its entirety. "To the Citizens of Walthourville, Serving you as a member oft the Walthourville City Council has been an honor, and I want to take a moment to share some ofthe progress we've made together. When I came into office, I made a commitment to work for the good of the people -to make tough but necessary decisions that help move our city forward. Here's some of what we've done: Coming Out of Financial Default: One oft the biggest achievements is that we are working our way out of a $600,000 negative default. Through careful planning, budgeting, and tough financial decisions, we are restoring our city's financial health and rebuilding a stronger foundation for the future. 4 Updated Water Rates: After a professional assessment, we learned that our water rates had not increased in over 20 years. To ensure the sustainability of our water system and to continue providing clean, reliable service, we adjusted the rates accordingly. This was not an easy decision, but it was a necessary one for the long-term health of our infrastructure. Trash Service Improvements: We contracted out our trash services to save the city money while still maintaining quality service. This helps us reduce costs and redirect funds to other areas in need. Mileage Rate Coming Soon: We're preparing to implement a mileage rate to generate additional revenue for the city. This will help support city services, maintain infrastructure, and improve the overall quality ofl life in Walthourville. Accountability in Billing: We are making sure all citizens stay current on their water bills. Timely payments ensure that services continue smoothly for everyone, and that the city remains financially stable. These are just a few steps we've taken to make surê Walthourville grows stronger and more sustainable-not; just fort today, but for the future. Iremain committed to transparency, community engagement, and smart planning. Councilmember Kelly stated the RFP for the Auditor has been advertised and the deadline is April 25. Councilmember Dodd had no comment, XIV. Executive Session. There was not one. XV. Adjournment: At7:56 PM the motion to adjourn was made by Mayor Pro Tem Lovette and the second was added by Councilmember Kelly. Vote: 5-0: Motion Passed Unanimously. 5 City ofWalthourville Mayor and Council GMA Meeting Minutes April 15, 2025 @ 6;00 PM. I. Call to Order: The meeting was called to order at 6:00 PM by Mayor Sarah B. Hayes. II. Roll Call was taken by the City Clerk. In addition to Mayor Sarah B. Hayes, the following members were in attendance. Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember Robert Dodd The attendance of the Council constituted a quorum. Councilmember Absent: Mayor Pro Tem Lovette Attorney Luke R. Moses was not in attendance. III. Georgia Municipal Association Mrs. Pam Helton Mrs. Helton stated she was happy to bei in Walthourville, Sheând Mayor Hayès previously spoke about her coming for a retreat, but her schedule did not permit at that time. She began by reviewing the GMA Civility Pledge and Pillars that are visible in the Mayorand Council Chamber. She asked if anyone knew what the acronym QTIP meânt? She said Quit Taking It Personally. She stated SO many disagreements occur because things aretaken personally. Mrs.Helton asked, "what does success look like?" CoumelmemberUmlersond replied, "evc)oninpoladpnd Councilmember Boston replied, "balanced budget. She asked, "why is it important tohave a balânced budget?" Councilmember Boston stated, it is important that expenses are lower than revenue. Mrs. Helton added, "if revenue and expenses are lowér, you don' thavè a balancèd budget. Sheinformed the Elected Officials that she had watched the cityls Mayor and Council meetings, and she wanted to come and see if she could assist with harmonizing everyone. Shèasked, what do they think the problems are? Councilmember Underwood said, "people been doing it the same wày and don't want to change. 99 Mrs. Helton asked for specific examples. Counçilmember Boston replied, "the utility billing wasn't getting added correctly, and when I was comparing it did not add up. 2 Mrs. Helton asked, how did he know he wasn't right? "did he inquire or ask anyone. She asked what happens, when we assume? Councilmember Kelly stated you make an ass of me andyou. Mrs. Helton further added that it is essential and important that questions are asked to the people that are in positions to answer the questions. Councilmember Kelly said, "we ask questions that we don't get answered? She referenced a question that she had asked, ? about the daily deposit and water funds going into the general fund." 77 She stated she was given it has been done this way. She advised her to ask more questions or for the elected officials to come and stay in City Hall one day and watch what is done. Mrs. Helton stated a lot of questions can be solved by talking with one another. She advised that saying something is wrong or being done wrong without actually knowing can lead to unnecessary chaos. She told the Mayor and Council their roles are to develop policies that the city must/should abide by. She said she has worked with Walthourville and "you have a whole lot of motions, but no policies." 27 She stated, "they can develop policies and have exceptions to the policies. Councilmember Boston referenced the Master Billing Registry being wrong. Mrs. Helton, posed the question, "how did he know it was wrong?? She said, ifwe are assuming without getting all of the information. She asked if they communicated with the employees. Mrs. Helton said, "Employees should be the greatest asset." 77 Councilmember Boston said he has been told the reason for the errors he found on the Master Billing Registry was, "City Hall don't! have time. He said he has told City Hall if they don' 't have time and the support to go through line by line I will help you. He said the errors had happened over one thousand times. Mrs. Helton asked if he felt there was a problem to have CKH conduct an internal audit on Utility Billing. She stated the Elected Officials should not be doing that, they should hire a third party or someone. Mrs. Helton asked, "why are you all bringing all complaints.concerns to the Council Meeting. She said, "I have watched your meetings and watchéd all ofyou, ifthere isa complaint or concern it should be directed to the appropriate personnel to follow up on. She said the Mayor is the presiding officer and everything should go through her. Boston added, whenhe encounters a problem that a citizen has, he will obtain their name and saycall the Mayor or City Hall. Mayor Hayes said she will go and visit the citizens and take pictures or video ofthe problem that they are experiencing. At 6:21 PM Councilmember Kelly exited the meeting. Mrs. Helton advised the Elected Officials to develop and-have policies on board. They should think about, "what policies do we have?" Let's work on solving and having a plan instead of causing the problems. She said they must think about the city and be mindful ofwhere they are headed in the plan. She closed by saying, the way Walthourville is headed now, it is not good. I want the best for Walthourville, we must liveby our civility pledge, be respectful and be kind. They must try to move togetheras a team.Twant to see you all suçcèed. Let's come together and have a plan. She added that she would be willing to return and have strategic training with them if they desired it. IV. Mayor and Council Comments: Mayor Hayes, Thanked Mrs. Helton for coming and said the Elected Officials have a lot of work to do. They were electèd by the people, and they all need to work together. Councilmember Boston added, "Thank You for taking time to come out. Mrs. Helton responded, "I know you all have potential." There were no additional Elected Officials' comments. V. Adjournment: At 6:36 PM the motion to adjourn was made by Councilmember Boston and the second was added by Councilmember Underwood. Vote: 3-0: Motion Passed. Councilmembers voting were Boston, Underwood and Dodd. Councilmember Kelly exited the meeting at 6:21 PM. * * INC.1974 - RVII LLE, GP MINAVS NKOVING WILEI IMPRINING: AGENDA ITEM 1 LCPC Mr. Todd Kennedy Liberty Consolidated Planning Commission - Report Governing Authority: The City of Walthourville Consolid - LCPC Mayor & Council Date: April 22, 2025 Type of Permit: Business License - Bakery/Coffee Shop Owner of Business: Alexis Scott Business Managed By: Alexis Scott Property Zoned: C-3 (Highway Commercial) Comments: This proposed business is a bakery and coffee shop located inside of an existing building. The name of the business is HMBL with a corporation name of Chosen Hands & Humble Beginnings, LLC. The location is 4981 W Oglethorpe Hwy. The Parcel Number is 050A163. LCPCZoning Recommendation: APPROVAL * Contingent upon any other applicable requirements. LCPC Staff: 4/16/25 Todd Kennedy Date City of Walthourville Business License Division Mailing Address: P.O Box K 2V G Walthourville, GA 31333 Office Location 222 Busbee Road Walthourville, GA 31333 Phone:(912) 368-7501 Web site address- wanwdhyehaltionilecon Application For corporation or limited Liability Company LLC Occupation Tax Certificate *The application must be filled out completely to obtain a City of Walthourville Occupation Tax Certificate. Payment must be filed with the application to obtain a City of Walthourville Occupation tax Certificate. This application will not be processed ifit is not accompanied by the appropriate tax fee. You will not be billed. Please print with ink or type. In order for the appropriate tax or fee to be determined the application accompanied by all appropriate documents must be submitted in person. Pursuant to The Georgia Immigration Reform Act that was passed by the State Legislature and signed by the Governor all persons applying for renewing a City of Walthourville Tax Certificate must provide a secure and verifiable document as required by O.C.G.A 50-36-1(e) (1) and sign and notarize the affidavit required by O.C.G.A 50-36-1 (e) (2) and the affidavit required by O.C.G.A 36-60-6 (d). This Business is: New Application ( . Ownership Change, / Date ownership changed & Certificate # lami filling a name/or address change for Certificate# Name business as HMB L Business Phone#A12).980- 035, Name of Corporation/LLC" wosen Hands StyMile Beginninss LLC Business Address 49181 W OGelthorpe twy Sule 07 Mailing Address 194 GIOt OR Email Address GIRXSSCO 0425 0 GALoow Full Detailed Description of Business_ bal KeNy Cofpce Shop Date Business began in City of Walthourville 12/27/2024 #of employees in City of Walthourville E-verify# (Requiredi if 11 or more employees State Sales Tax ID# Federal ID # Owner Name_ ALeXIS Scoft SSI DOBCA4 2s/19618 Home Address_ 04 alcot LR Apt# Gity_tinesville State GA Zip313) * Alle electrical, mechanical, plumbing, well drilling contractors, mobile home dealers, mobilel home installers, and any other contractor that is required tot have a State ofe Georgial Licenses will! be required toa attacha a copy of the license to this application beforei insurance. **All commercially used buildingr may! bes subject toa an inspection for fire: and safety code compliance prior to anyo certificate of occupancy or business license! being issued. Are you, the applicant the corporation, LLC or any shareholder currently delinquent in payment of any taxes or fees to any: state or local government? NO Ify yes, please indicate the type of tax or fee, and the amount due with the reason the tax is delinquent. Ift this property is zoned residential, no clients I swear or affirm that have obtained or will obtain Employees, sales, deliveries, storage of inventory, within thirty days of the date of this application a Or equipment are allowed on the premises. Only City of Walthourville Certificate of Occupancyas One commercial vehicle not to exceed 12,500 Ibs required by the city ordinances. Gross weight used as transportation by the occupant May be parked at the residence. Iwill comply with the Zoning Restrictions stated above: AS Signature: (initals) Diexis Scott affirm that the facts stated by me are true, I understand any misrepresentation ori fraudulent statement is grounds for automatic dismissal of this application and/revocation of the license. I understand that all signs displayed on my premise must be permitted by the City of Walthourville, further understand that my business must operated in compliances with all applicable state, federal & local laws, ordinances & regulations, & that the granting oft this occupation tax certificate or payment of this occupation tax does not waive the right of any federal, state or local entity to regulate & enforce laws, ordinances & regulations. understand that all decisions of Business License Division may be appealed to the City of Walthourville. This a day of p l 2025 Signature of applicant legibly print name_ Axis Sco7t This application must be approved by the Liberty County Planning Commission Tax Map & Parcel# 050AI6 3 Zoning Classification C3 Approved by: L CPE Date Approved: 4H6125 Date the request will be presented to Mayor and Council: 4/22125 ***APPLICANTI MUST COMPLETE THE AFFIDAVITS AND PROVIDE A SECURE AND VERIFIABLE DOCUMENT*S O.C.G.. A. $ 50-36-1(e)(2) AFFIDAVIT By executing this affidavit under oath, as an applicant for a loan, grant, tax credit and/or other public benefit, as referenced in O.C.G.A. $ 50-36-1, administered by the Georgia Department of Community Affairs, the undersigned applicant verifies one ofthe following with respect to my application for a public benefit: 1) AS Iam a United States Citizen. 2) Iam a legal permanent resident of the United States. 3) I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department ofl Homeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is: The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document, as required by O.C.G. A. $ 50-36-1(e)(1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as: In making the above representation under oath, I understand that any person who knowingly and willfully makes a false fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation ofO.C.G.A. 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed this the Gayo of Aprl 2025 in Huesulle (city), Geovcpa (state). Signalite of Applicant AIIS Survt Printed Name of Applicant SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF 201_ NOTARY PUBLIC My Commission Expires: *This Afidavit must be signed by the: same person who executes the. Application Certification Form Letter Secure and Verifiable Documents Under O.C.G.A. 8 50-36-2 Issued August 1, 2011 by the Office of the Attorney General, Georgia The Illegal Immigration Reform and Enforcement Act of 2011 ("IIREA") provides that "In]ot later than August 1, 2011, the Attorney General shall provide and make public on the Department of Law's website a list of acceptable secure and verifiable documents. The list shall be reviewed and updated annually by the Attorney General.' " O.C.G.A. $ 50-36-2(f). The Attorey General may modify this list on a more frequent basis, if necessary. The following list of secure and verifiable documents, published under the authority ofO.C.G.A. $ 50-36-2, contains documents that are verifiable for identification purposes, and documents on this list may not necessarily be indicative of residency or immigration status. A United States passport or passport card [O.C.G.A. S 50-36-2(b)(3); 8 CFR $ 274a.2] A United States military identification card [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A driver's license issued by one of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the Commonwealth of the Northern Marianas Islands, the United States Virgin Island, American Samoa, or the Swain Islands, provided that it contains a photograph of the bearer or lists sufficient identifying information regarding the bearer, such as name, date of birth, gender, height, eye color, and address to enable the identification of the bearer [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] An identification card issued by one of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, the Commonwealth of the Northern Marianas Islands, the United States Virgin Island, American Samoa, or the Swain Islands, provided that it contains aj photograph of the bearer or lists sufficient identifying information regarding the bearer, such as name, date of birth, gender, height, eye color, and address to enable the identification of the bearer [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A tribal identification card of a federally recognized Native American tribe, provided that it contains a photograph of the bearer or lists sufficient identifying information regarding the bearer, such as name, date of birth, gender, height, eye color, and address to enable the identification of the bearer. A listing of federally recognized Native American tribes may be found at: htp:/www.bia.gov/WhoWeAre/BIN/OIS/TribilGovermemservices/TibalDirectory/ind ex.htm [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A United States Permanent Resident Card or Alien Registration Receipt Card [O.C.G.A. $: 50-36-2(b)(3); 8 CFR $ 274a.2] An Employment Authorization Document that contains a photograph of the bearer [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A passport issued by a foreign government [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A Merchant Mariner Document or Merchant Mariner Credential issued by the United States Coast Guard [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A Free and Secure Trade (FAST) card [O.C.G.A. $ 50-36-2(b)(3); 22 CFR $ 41.2] Al NEXUS card [O.C.G.A. 50-36-2(b)(3); 22 CFR $ 41.2] A Secure Electronic Network for Travelers Rapid Inspection (SENTRI) card [O.C.G.A. $ 50-36-2(b)(3); 22 CFR S 41.2] A driver's license issued by a Canadian government authority [O.C.G.A. $ 50-36-2(b)(3); 8 CFR $ 274a.2] A Certificate of Citizenship issued by the United States Department of Citizenship and Immigration Services (USCIS) (Form N-560 or Form N-561) [O.C.G.A. $ 50-36-2(b)(3); 6CFR $ 37.11] A Certificate of Naturalization issued by the United States Department of Citizenship and Immigration Services (USCIS) (Form N-550 or Form N-570) [O.C.G.A. $ 50-36-2(b)(3); 60 CFR $ 37.11] In addition to the documents listed herein, if, in administering a public benefit or program, an agency is required by federal law to accept a document or other form of identification for proof of or documentation of identity, that document or other form of identification will be deemed a secure and verifiable document solely for that particular program or administration of that particular public benefit. [O.C.G.A. S 50-36-2(c)] Private Employer. Affidavit Pursuant To O.C.G.A. $ 36-60-6(d) By executing this affidavit under oath, the undersigned private employer verifies one of the following with respect to its application for a business license, occupational tax certificate, or other document required to operate a business as referenced in O.C.G.A. $ 36-60-6(d): Section 1. Please check only one: (A). On January 1" of the below-signed year, the individual, firm, or corporation employed more than ten (10) employees'. *** If you select Section 1(A), please fill out Section 2 and then execute below. (B). AR On. January 1* of the below-signed year, the individual, firm, or corporation employed ten (10) or fewer employees. *** If you select Section 1(B), please skip Section 2 and execute below. Section 2. The employer has registered with and utilizes the federal work authorization program in accordance with the applicable provisions and deadlines established in O.C.G.A. $ 36-60-6. The undersigned private employer also attests that its federal work authorization user. identification number and date of authorization are as follows: Name of Private Employer Federal Work Authorization User Identification Number Date of Authorization I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on 201_ in (city), (state). Signature of Authorized Officer or Agent Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE, DAY OF 201 NOTARY PUBLIC My Commission Expires: 'To determine the number of employees for purposes of this affidavit, a business must count its total number of employees company-wide, regardless of the city. state, or country in which they are based, working at least 35 hours a week. 5 3 y Ein EN &o 6 B A 6 6 A 70€ Ln B A B 2 7 CA 61885 0a9 FR - B A siua Rd 6 y gn a 6 A S0 A & A A A A A A & - & / A e A A INCIVA S PURVILLE G ISANS NKWING WILEI IMRINING AGENDA ITEM2 LCPC Mr. Todd Kennedy Liberty Consolidated Planning Commission Report Governing Authority: The City of Walthourville Consolit LCPC Eus 2005 Mayor & Council Date: April 22, 2025 Type of Permit: Business License - Type B Home Occupation Owner of Business: LaToya Inman Business Managed By: LaToya Inman Property Zoned: R-8 (Single-Family Residential-8) Comments: This proposed business is a Type B Home Occupation to have a Commissary/Base of Operation for a Food Truck at a residence. The name of the business is South Peach Cuisine, LLC. The location is 146 Stephanie Drive. The Parcel Number is 050D063. The LCPC recommended approval at their hearing on 4/15/25. LCPC Zoning Recommendation: APPROVAL * Contingent upon any other applicable requirements. LCPC Staff: 4/I6la5 Todd Kennedy Date City of Walthourville Business License Division Mailing Address: P.O Box K VI ILLE Walthourville, GA 31333 Office Location 222 Busbee Road Walthourville, GA 31333 Phone:(912) 368-7501 Web site address- awdbelalheniliecon Application For corporation or limited Liability Company LLC Occupation Tax Certificate *The application must be filled out completely to obtain a City of Walthourville Occupation Tax Certificate. Payment must be filed with the application to obtain a City of Walthourville Occupation tax Certificate. This application will not be processed if it is not accompanied by the appropriate tax fee. You will not be billed. Please print with ink or type. In order for the appropriate tax or fee to be determined the application accompanied by all appropriate documents must be submitted in person. Pursuant to The Georgia Immigration Reform Act that was passed by the State Legislature and signed by the Governor all persons applying for renewing a City of Walthourville Tax Certificate must provide a secure and verifiable document as required by O.C.G.A 50-36-1(e) (1) and sign and notarize the affidavit required by O.C.G.A 50-36-1 (e) (2) and the affidavit required by O.C.G.A 36-60-6 (d). This Business is: J New Application Ownership Change / Date ownership changed & Certificate # )lami filling a name/or address change for Certifiçate# 8D3) Name business as Laloya Jnman Business Phoma01k-1272 Name of Corporation/LLC" South Peach Cuisine, LLC Business Address j4lo Slephunle DK Allentnust ba. 31301 Mailing Address_ Same as abcuR Email Address ntayd-inmanTetrt.cc Full Detailed Description of Business Sarta Peach IS mopile fud Service Speciclzing n Scuthenn Ccmfbrt W1h a pench - msoired twist. A I aim h provd Quick- high quelityy Merus While Keeping it + Date Business began in City of Walthourville IBD armph #of employees in City of Walthourville E-verify# (Required if 11 or more employees State Sales Tax ID# Federal ID # Owner Name LATua Unnu SS# B Cio-18-1479 Home Address 14l phanie Dh. Apt# City_Allnhuke State 114. Zip 131 *** Alle electrical, mechanical, plumbing, well drilling contractors, mobile home dealers, mobile home installers, and any other contractor that is required to have a State of Georgia License willl be required to attach a copy of thel license to this application before insurance. ***Allo commercially usedb building may be subject to an inspection for fire and: safety code compliance prior to any certificate ofc occupancy or business license being issued. Are you, the applicant the corporation, LLC or any: shareholder currently delinquent in payment of any taxes or fees to any state or local government? Ifyes, please indicate the type oft tax or fee, and the amount due with the reason the tax is delinquent. NO Ifthis property is zoned residential, no clients swear or affirm that have obtained or will obtain Employees, sales, deliveries, storage of inventory, within thirty days oft the date of this application a Or equipment are allowed on the premises. Only City of Walthourville Certificate of Occupancy as One commercial vehicle not to exceed 12,500 Ibs required by the city ordinances. Gross weight used as transportation by the occupant May be parked at the residence. will comply with the Zoning, Restrictions stated above:. I Signature: Lun D Thman (initals) - LOINMA affirm that the facts stated by me are true, I understand any misrepresentation or fraudulent statement is grounds for automatic dismissal oft this application and/revocation of the license. I understand that all signs displayed on my premise must be permitted by the City of Walthourville, Ifurther understand that my business must operated in compliances with all applicable state, federal & local laws, ordinances & regulations, & that the granting of this occupation tax certificate or payment of this occupation tax does not waive the right of any federal, state or local entity to regulate & enforce laws, ordinances & regulations. I understand that all decisions of Business License Division may be appealed to the City of Walthourville. This_ 204 day of abni A 2025 Signature of applicant 1Dfaman legibly print name_ Laya Jameun This application must be approved by the Liberty County Planning Commission Tax Map & Parcel# 050D063 Zoning Classification R-8 LCPL- Approved by: Date Approved: 4H15725 Date the request will be presented to Mayor and Council: 4h2175 ***APPLICANT MUST COMPLETE THE AFFIDAVITS AND PROVIDE A SECURE AND VERIFIABLE DOCUMENT*** O.C.G. A. S 50-36-1(e)(2) AFFIDAVIT By executing this affidavit under oath, as an appliçant for a loan, grant, tax credit and/or other public benefit, as referenced in O.C.G.A. $ 50-36-1, administered by the Georgia Department of Community Affairs, the undersigned applicant verifies one oft the following with respect to my application for a public benefit: 1) Iam a United States Citizen. 2). Iam a legal permanent resident of the United States. 3) Ia am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department ofHomeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is: The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document, as required by O.C.G. A. S 50-36-1(e)(1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as: Yiyers rense 55 Acrd Passpprt In making the above representation under oath, I understand that any person who knowingly and willfully makes a false fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation ofO.C.G.A. 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed this the Dday of kebman, 2035 in (city), benrgia_Gut, Womun *Signature of Applicant ATDYA nmmn Printed Namelof Applicant SUBSCRIBED AND SWORN BEFORE ME ON THIS THE 1 DAY OF Mane 2005 ouy NOTARY PUBLICC CeA < Eo My Commission Expires: CrS CeLIC 3-19.28 OUNT V B *This. Afidavit must be signed by the same, person who executes the Application Certification. Form Letter Private Employer Affidavit Pursuant To O.C.G.A. $ 36-60-6(d) By executing this affidavit under oath, the undersigned private employer verifies one of the following with respect to its application for a business license, occupational tax certificate, or other document required to operate a business as referenced in O.C.G.A. $ 36-60-6(d): Section 1. Please check only one: (A) On January 1* oft the below-signed year, the individual, firm, or corporation employed more than ten (10) employees'. *** Ify you select Section 1(A), please fill out Section 2 and then execute below. (B). On January 151 of the below-signed year, the individual, firm, or corporation employed ten (10) or fewer employees. *** Ify you select Section 1(B), please skip Section 2 and execute below. Section 2. The employer has registered with and utilizes the federal work authorization program in accordance with the applicable provisions and deadlines established in O.C.G.A. $ 36-60-6. The undersigned private employer also attests that its federal work authorization user identification number and date of authorization are as follows: Name of Private Employer Federal Work Authorization User Identification Number Date of Authorization II hereby declare under penalty of perjury that thei foregoing is true and correct. Executed on 1o A 7 205 in (city), Aa. (state). Signature of Authorized Officer or Agent Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF 201_ NOTARY PUBLIC My Commission Expires: To determinc the number of employees for purposes of this affidavit, a business must count its total number of employees company-wide, regardless of the city, state, or country in which they are based, working at least 35 hours a week. * INCIVT RVI LLE, G AISANS NKWVING WILET IMIRINING AGENDA ITEM 13 LCPC Mr. Todd Kennedy Liberty Consolidated Planning Commission = Report Governing Authority: The City of Walthourville Consolin LCPC ig B Com 20A5 Mayor & Council Date: April 22, 2025 Business License: 1st Annual SummerFest Business Owner: Rodney Kelly Property Owner: Con Sabor Boricula LLC Address: 4850 W. Oglethorpe Hwy. Parcel 050B045 Zoned: C2 (General Commercial) Comments: Needs Mayor and Council Approval for this One Time Event Permit. Recommendation: APPROVAL LCPC Staff: 4-18-35 hai Pba) Lori Parks Date Zoning Administrator Apisas 6pm City of Walthourville Business License Division Application for corporation or Limited Liability Company LLC Occupation Tax Certificate 4 RVILLE-S C MN *The application must be filled out completely to obtain a City of Walthourville Occupation Tax Certificate. Payment must be filed with the application to obtain a City of Walthourville Occupation tax Certificate. This application will not be processed ifi it is not accompanied by the appropriate tax fee. You will not be billed. Please print with ink or type. In order for the appropriate tax or fee to be determined the application accompanied by all appropriate documents must be submitted in person. Pursuant to The Georgia Immigration Reform Act that was passed by the State Legislature and signed by the Governor all persons applying for renewing a City of Walthourville Tax Certificate must provide a secure and verifiable document as required by O.C.G.A 50-36-1(e) (1) and sign and notarize the affidavit required by O.C.G.A 50-36-1 (e) (2) and the affidavit required by O.C.G.A 36-60-6 (d). This Business is: New Application )Ownership Change / Date ownership changed & Certificate # ( Jlamf filling a name/or address change for Certificate# jst Name business as_ Sumpepesk Annua Business Phone#( 178 9075403 912 4 432 8526 Name of Corporation/LLC Hocl Lockex LC Royally Kutz Business Address 4850 W Oglelhoepe HwN threville 31313 Mailing Address_ 7 Scott P& Hinesville GA 31313 Home Address_ City_ State_ Zip Email Address_ 39 Doxesssegmall . cOm Full Detailed Description of Business. Vendos corlbive Show trol Ride, bounce houses, Watersh ces Oncert Number of employees (including ownership) in City of Walthourville E-verify# (Required if: 11 or more employees). State Sales Tax ID# Federal ID # Owner Name SS# DOB DOES THIS BUSINESS REQUIRE A STATE LICENSE? (YES), (NO) (Please attach a copy of your state license or certification) ** * Alle electrical, mechanical, plumbing, well drilling contractors, salon, mobile home dealers, mobile home installers, and any other contractort thati is required to have a State of Georgia License will ber required to attach ac copy of the licenset to this application before insurance. *Allo commercially used building may be subject to an inspection for fire and safety code compliance prior to any certificate of occupancy or business license being issued. FOR OFFICE USE ONLY ZONING DEPT ()A APPROVED () DISAPPROVEDI BY DATE_ FIRE DEPT ) APPROVED () DISAPPROVED BY DATE_ CITY COUNCIL APPROVED () DISAPPROVED BY. DATE_ BUSINESS LICENSE DEPT DATE RECEIVED BUSINESS LICENSE ISSUANCE DATE Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: wenwsiohaltheunili.son City of Walthourville Business License Division /: RVI LLE Are you, the applicant, the corporatjon, LLC or any shareholder currently delinquent in payment of any taxes or fees to any state or local government? o-Ifyes, please indicate the type of tax or fee, and the amount due with the reason the tax is delinquent. Ry Ifthis property is zoned residential, no clients, employees, sales, deliveries, storage of inventory, or equipment (initals) are allowed on the premises. Only one commercial vehicle not to exceed 12,500 Ibs Gross weight used as transportation by the occupant may be parked at the residence. RK Iswear or affirm that have obtained or will obtain within thirty days of the date of this application a City of (initals) Walthourville Certificate of Occupancy as required by the city ordinances. RK Iwill comply with the Zoning Restrictions stated above. (initals) ockney Kelly affirm that the facts stated by me are true, understand any misrepresentation or fraudulent statement is grounds for automatic dismissal of this application and/revocation oft the license. - understand that all signs displayed on my premise must be permitted by the City of Walthourville, further understand that my business must operate in compliance with all applicable state, federal and local laws, ordinances and regulations, and that the granting of this occupation tax certificate or payment of this occupation tax does not waive the right of any federal, state or local entity to regulate and enforce laws, ordinances and regulations. understand that all decisions of the Business License Division may be appealed to the City of Walthourville. This day of 20 Legibly print name RodonKelly Signature of applicant_ This application must be approved by the Liberty County Planning Commission 03 Tax Map & Parcel# 0508045 Zoning Classification Approved by: Date Approved: Date the request will be presented to Mayor and Council: 4-32-25 ***APPLICANT MUST COMPLETE THE. AFFIDAVITS AND PROVIDE A SECURE AND VERIFIABLE DOCUMENT** Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: wdbohathounlie.on CITY OF WALTHOURVILLE BUSINESS LICENSE DIVISION = LAWFUL PRESENCE AFFIDAVIT O.C.G. A. $ 50-36-1(e)(2) AFFIDAVIT By executing this affidavit under oath, as an applicant for a loan, grant, tax credit and/or other public benefit, as referenced in O.C.G.A. $ 50-36-1, administered by the Georgia Department of Community Affairs, the undersigned applicant verifies one ofthg following with respect to my application for a public benefit: 1) Iam al United States Citizen. 2). Iam al legal permanent resident of the United States. 3). I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is: The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document, as required by O.C.G. A. $ 50-36-1(e)(1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as: In making the above representation under oath, I understand that any person who knowingly and willfully makes a false fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed this the day of 20 in (city), (state). *Signature of Applicant Printed Name of Applicant SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF 20 NOTARY PUBLIC My Commission Expires: *This. Affidavit must be. signed by the same person who executes the. Application Certification Form Letter Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: wdinolatbouriliscen CITY OF WALTHOURVILLE BUSINESS LICENSE DIVISION = PRIVATE EMPLOYER AFFIDAVIT By executing this affidavit under oath, the undersigned private employer verifies one oft the following with respect to its application for a business license, occupational tax certificate, or other document required to operate a business as referenced in O.C.G.A. S 36-60-6(d): Section 1. Please check only one: (A). On January 1stofthe below-signed year, the individual, firm, or corporation employed more than ten (10) employees'. *: * Ify you select Section 1(A), please fill out Section 2 and then execute below. (B), On January I5t of the below-signed year, the individual, firm, or corporation employed ten (10) or fewer employees. If you select Section I(B), please skip Section 2 and execute below. Section 2. The employer has registered with and utilizes the federal work authorization program in accordance with the applicable provisions and deadlines established in O.C.G.A. $ 36-60-6. The undersigned private employer also attests that its federal work authorization user identification number and date of authorization are as follows: Name of Private Employer Federal Work Authorization User Identification Number Date of Authorization I hereby declare under penalty of perjury that the foregoing is true and correct. Executed on 20 in (city), (state). Signature of Authorized Officer or. Agent Printed Name and Title of Authorized Officer or Agent SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF 20 NOTARY PUBLIC My Commission Expires: 'To determine the number of employees for purposes of this affidavit, a business must count its total number of employees company- wide, regardless ofthe city, state, or country in which they are based, working at least 35 hours a week. Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: wwciohltiounliscen * F Q B - d0 0 C 6 2 o 9 a a % 1 050B045 a C 050B046 050B047 050B048 Cynthia Ln LIBER 050B049 E II 050B050 osesy o 050B052 a E 050B055 6V08090 U7-EIyuRO 8708090 LD08050 9008090 9 Sv08090 3805 9 IER - - 6 E4 2 A & A A - 6 - & 70€ Ln 6 5 - B B 6 f CA B - - 6 6 % 2 % 9 A A * * INCIVT RVII LE, G AISKAYSN MOVING I ILE IMPRONING: AGENDA ITEM 4 City of Walthourville 2025-2026 GIRMA Renewal Georgia Interlocal Risk Management Agency GMA Property & Liability Self-Insurance Program CONTRIBUTION PAYMENT TERMS CITY OF WALTHOURVILLE RLFC# WA4 INVOICE NUMBER 360490 EFFECTIVE DATE 05/01/2025 INVOICE AMOUNT $128,597 PROPOSAL NUMBER RWA4-PR2025-1 PAYMENT TERMS: OPTION 1: Full Amount Due on Binding OPTION 2: 50% Down = Balance due in 30 days OPTION 3: 25% Down - Balance due in 4 monthly installments. The entire contribution must be paid within 6 months of the effective date. Checks should be made payable to GIRMA. Please sign and return with your check to: Georgia Interlocal Risk Management Agency P.O. Box 105377 Atlanta, Georgia 30348 Please sign and date on the lines below that you have read and accept the limits and deductibles outlined in the renewal terms. Please return the signed invoice with your initial payment to the GIRMA address above. Authorized Signature Date Georgia Interlocal Risk Management Agency Member Contribution Breakdown Contribution Contribution LINE OF COVERAGE Breakdown Total City of Walthourville (WA4) Effective Date 05/01/2025 GENERAL LIABILITY Grants Administered $0 GROSS OPERATING EXPENDITURES $8,650 PARK ACREAGE $0 HOUSING AUTHORITIES - UNITS $0 PUBLIC UTILITIES - CABLE / TELECOM $0 PUBLIC UTILITIES - ELECTRIC $0 PUBLIC UTILITIES - GAS $0 PUBLIC UTILITIES - SEWER $0 PUBLIC UTILITIES - WATER $2,823 REFUSE COLLECTION $0 SCHOOLS - ALL OTHER STUDENTS $0 SCHOOLS - TRADE OR VOCATIONAL STUDENTS $0 WATER RELATED ACTIVITIES - # BEACHES, LAKES, POOLS $0 GENERAL LIABILITY TOTALS $11,473 Georgia Interlocal Risk Management Agency Member Contribution Breakdown Contribution Contribution LINE OF COVERAGE Breakdown Total Number of Contrib Per AUTOMOBILE LIABILITY Vehicles Vehicle Total Contribution Buses - Public Transit Buses $0.00 $0.00 Buses School Buses 0 $0.00 $0.00 Motorcycles $0.00 $0.00 Private Passenger All Other Type Cars $0.00 $0.00 Private Passenger Fire Cars 0 $0.00 $0.00 Private Passenger Police Cars 19 $2,088.80 $39,687.20 Trailers Semi Trailers $0.00 $0.00 Trailers - Trailers $0.00 $0.00 Trucks Ambulances or Paramedic $0.00 $0.00 Vehicles Trucks - Extra Heavy Weight 0 $0.00 $0.00 Trucks - Fire Trucks 3 $927.43 $2,782.29 Trucks - Garbage 5 $927.43 $4,637.15 Trucks - Heavy Weight 1 $386.43 $386.43 Trucks - Medium Weight 3 $309.14 $927.42 Trucks - Van, Pickups, Light Trucks 14 $231.86 $3,246.04 AUTO LIABILITY TOTALS 45 $51,667 Georgia Interlocal Risk Management Agency Member Contribution Breakdown Contribution Contribution LINE OF COVERAGE Breakdown Total Number of Contrib Per AUTOMOBILE PHYSICAL DAMAGE Vehicles Vehicle Total Contribution Trucks - Van, Pickups, Light Trucks 14 $159.89 $2,238.46 Trucks - Medium Weight 3 $159.89 $479.67 Trucks - Heavy Weight 1 $159.89 $159.89 Trucks - Extra Heavy Weight $0.00 $0.00 Trucks - Ambulances or Paramedic ) $0.00 $0.00 Vehicles Trucks Garbage 5 $319.78 $1,598.90 Trucks - Fire Trucks 3 $479.68 $1,439.04 Private Passenger Fire Cars $0.00 $0.00 Private Passenger Police Cars 19 $596.95 $11,342.05 Private Passenger - All Other Type Cars $0.00 $0.00 Trailers - Semi Trailers $0.00 $0.00 Trailers - Trailers U $0.00 $0.00 Buses - Public Transit Buses 0 $0.00 $0.00 Buses - School Buses 0 $0.00 $0.00 Motorcycles 0 $0.00 $0.00 PHYSICAL DAMAGE TOTALS 45 $17,258 Georgia Interlocal Risk Management Agency Member Contribution Breakdown Contribution Contribution LINE OF COVERAGE Breakdown Total UNINSURED MOTORIST LIABILITY $3,252 LAW ENFORCEMENT LIABILITY $1,740.13 per officer $13,921 PUBLIC OFFICIALS LIABILITY $9,942 PROPERTY (including Mobile Equipment and Boiler & Machinery) Values / Rates $23,540 Total Insured Value $6,611,744 Rate per $100 of Value $0.3560 POLICE ANIMALS $0 $0 CRIME $23.80 per employee $714 TOTAL CONTRIBUTION" $131,766 * Figures may! be off by $1 due to rounding * * INC.1914 URVI LLE G AISKENNS NKOVING WILLET IMPRINING AGENDA ITEM5 City of Walthourville Mayor and Council Millage/Estimated Rollback The City of Walthourville of Liberty County Estimated Roll-Back Millage Rate Certification 2025 Tax Year 2025 2024 Estimated Millage Rate Roll-Back Millage CityofWalthourville , (name), (title), hereby certify on this day of (month), 2025 that the above 2025 Estimated Roll-Back Millage rate presents fairly, in all respects, the value that the City of Walthourville wishes to be included on the 2025 Assessment Notices. Signature Date