Special Use Permit – McKay Lake/Ketner Lake Non-Motorized Boating

Special Use Permit – McKay Lake/Ketner Lake Non-Motorized Boating

Phone No. (303) 658-2192 | After Hours and Weekend Emergency No. (303) 658-4360 | Must be at least 21 years of age):
Applicant Name

First NameLast Name
Applicant Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Driver’s License Number
Are you a City of Westminster Resident?
Insurance Requirements: The Applicant shall make the City of Westminster an additional insured under the Applicant’s Liability insurance coverage. The additional insurance covered shall be primary with respect to claims made against the City in relation to the event.
In consideration of the issuance of this requested permit, the Applicant agrees to defend, indemnify, and hold the City of Westminster and members of the City Council, individually and collectively, and the Officers, Agents, and Employees of the City, individually and collectively, free and harmless from and against all claims or demands arising from any acts, omissions, or negligence of the Applicant, their licensees’, agents, servants, or employees, arising from any occurrence or accident causing, or allegedly causing, bodily injury (including liability for personal injury or death) or damage to property to whomsoever belonging, arising out of, or allegedly arising out of, the use of premises as defined in the Permit or while in, or about said premises.

The undersigned hereby assumes personal and individual liability for himself and on behalf of Applicant for any damages to said facility or equipment occurring through or during the occupancy or use of said facility by the Applicant. The undersigned will leave said facility in a condition as good as, or better than, originally found. The undersigned personally and individually, and on behalf of the Applicant, accepts liability for all repairs to the facility and/or repair or replacement of equipment in the event of damage.

Granting of Permit is subject to the following conditions:

1. No alcoholic beverages are allowed while using this permit.
2. Boats are restricted to kayaks, canoes, and belly boats. Paddleboards are prohibited.
3. Permittee acknowledges that there are no lifeguards on duty at this site.
4. All boaters must have proper PFDs and a whistle with them at all times.
5. All City of Westminster and State of Colorado fishing regulations apply.
6. Hours of use shall be from dawn to dusk.
7. Motorized vehicles are restricted to the designated hard surface parking lots.
8. Destruction, damage, or removal of any vegetation or defacement of any public property is prohibited.
9. Disorderly conduct and/or abusive language are prohibited.
10. Applicant is responsible for his/her own actions and the actions of parties represented as a result of this permit.
11. A copy of this permit must be in the possession of the applicant at all times during use.
12. All Parks Rules and Regulations and Chapter 1, Title XIII of the Municipal Code also apply.
Electronic Signature
Full Name (including middle initial, if applicable)
Address
Email
example@example.com
Should be Empty: