Subcontractor Supplier Registration
What type of work are you interested in bidding with us?
Have you ever worked on a project with Blaine Construction?
If YES, indicate Project Name and Superintendent:
Are you licensed in your trade?
If Yes, indicate state(s):
Are you insured?
Worker's Compensation Coverage of at least $500,000 for each accident?
If No, please provide coverage limits:
Comprehensive General Liability Coverage of at least $1,000,000 for each occurrence?
Automobile Liability Coverage on any vehicle (including hired and non-owned) totaling at least $1,000,000?
Umbrella Liability Coverage of at least $1,000,000?
Are you Bondable?
If YES, please provide amount per single project:
References: Provide 3 with phone number and email address below:
2013 © BLAINE CONSTRUCTION CORPORATION. All Rights Reserved.
6510 Deane Hill Drive
Knoxville, TN 37919
TELEPHONE (865) 693-8900
FAX (865) 693-7894