8-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

________________

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

Date of Report

(Date of earliest event reported):            November 2, 2009

INSITUFORM TECHNOLOGIES, INC.

(Exact name of registrant as specified in its charter)

Delaware	0-10786	13-3032158
(State or other jurisdiction of incorporation)	(Commission File Number)	(IRS Employer Identification No.)

17988 Edison Avenue, Chesterfield, Missouri	63005
(Address of principal executive offices)	(Zip Code)

Registrant’s telephone number,

including area code                                    (636) 530-8000                                           

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

[  ]	Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[  ]	Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[  ]	Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[  ]	Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Item 7.01     Regulation FD Disclosure

Beginning on November 2, 2009, representatives of Insituform Technologies, Inc. (the “Company”) will be making presentations to various investors from time to time accompanied by a slide presentation.  A copy of the slide presentation is attached hereto as Exhibit 99.1.

The Company is furnishing the information in this Current Report on Form 8-K and in Exhibit 99.1 to comply with Regulation FD. Such information shall not be deemed to be "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section,

and shall not be deemed to be incorporated by reference into any of the Company's filings under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date hereof and regardless of any general incorporation language in such filings, except to the extent expressly set forth by specific reference in such a filing.

Item 9.01     Financial Statements and Exhibits

(d) Exhibits

Exhibit Number	Description
99.1	Investor Slide Presentation dated November 2, 2009

*           *           *

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

INSITUFORM TECHNOLOGIES, INC.
By:	/s/ David F. Morris
	David F. Morris
	Senior Vice President, General Counsel and Chief Administrative Officer

Date:  November 2, 2009.

EX-99.1

Investor Update - November 2009

Energy & Mining

Wastewater

Sustainable Pipeline Solutions

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Forward-Looking Statements

The Private Securities Litigation Reform Act of 1995 provides a “safe harbor” for forward-looking
statements. The Company makes forward-looking statements in this document that represent the
Company’s beliefs or expectations about future events or financial performance. These forward-looking
statements are based on information currently available to the Company and on management’s beliefs,
assumptions, estimates and projections and are not guarantees of future events or results. When used in
this document, the words “anticipate,” “estimate,” “believe,” “plan,” “intend,” “may,” “will” and similar
expressions are intended to identify forward-looking statements, but are not the exclusive means of
identifying such statements. Such statements are subject to known and unknown risks, uncertainties
and assumptions, including those referred to in the “Risk Factors” section of the Company’s Annual
Report on Form 10-K for the year ended December 31, 2008, as filed with the Securities and Exchange
Commission on March 2, 2009. In light of these risks, uncertainties and assumptions, the forward-
looking events discussed may not occur. In addition, our actual results may vary materially from those
anticipated, estimated, suggested or projected. Except as required by law, we do not assume a duty to
update forward-looking statements, whether as a result of new information, future events or otherwise.
Investors should, however, review additional disclosures made by the Company from time to time in its
periodic filings with the Securities and Exchange Commission. Please use caution and do not place
reliance on forward-looking statements. All forward-looking statements made by the Company in this
document are qualified by these cautionary statements.

In addition, some of the market and industry data and forecasts included in this Investor Presentation
are based upon independent industry sources. Although we believe that these independent sources are
reliable we have not independently verified the accuracy and completeness of this information.

Insituform®, the Insituform® logo, Insitumain™, United Pipeline Systems®, Bayou Companies™,
Corrpro®, Insituform Blue® and our other trademarks referenced herein are the registered and
unregistered trademarks of Insituform Technologies, Inc. and its affiliates.

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Insituform is a leading global provider of proprietary
technologies and services for rehabilitating and maintaining
sewer, water and energy and mining piping systems and the
corrosion protection of industrial pipelines

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§Sewer Rehabilitation

§Europe - Focus on improving profitability through right-sizing installation businesses, expanding third party tube
sales, optimizing German joint venture and lowering fixed operating expenses

§Asia/Pacific - Growth in India, Hong Kong and Australia, expansion into Singapore and China, growth of third
party tube sales through development of certified installer program throughout Asia

§Water Rehabilitation

§Focus on successful implementation of Insitumain®

§Development of broader water platform to capitalize on growing water infrastructure needs globally

§Energy and Mining

§Continued integration of recent acquisitions of Bayou and Corrpro under common platform leadership group

§Investing in building business development opportunities for comprehensive service platform

§Focus on selective geographic expansion (Asia, Middle East) coordinated with current Insituform theatre
management

Our Vision

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Financial Snapshot

NOTE:LTM 2009 as of September 30, excluding Acquisition-
Related Transaction and Severance Costs

ØLTM revenue growth of 21% and
operating income growth of 54% with
margin increasing from 6.3% to 8.0%

ØSignificant revenue growth expected
in near term:

•Economic recovery in NA Market

•Stimulus funding

•Insitumain™ momentum

•Increasing Asia / Pacific
infrastructure

•Oil and Gas pricing recovery

•Geographic expansion across
service segments

ØGrowth increases earnings potential

ØGeographic expansion and expanded
Energy and Mining platform
dramatically increased addressable
market size / organic growth
opportunities

ØAdditional cost synergies as
companies integrate / achieve
additional scale

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Financial Snapshot (Continued)

NOTE:LTM 2009 as of September 30, excluding Acquisition-
Related Transaction and Severance Costs

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PERFORMANCE

§Gross margin % increased to 24.6% (LTM Sept 2009) from 22.2% in 2008, primarily resulting from:

-Cost of quality reductions

-Crew efficiency / Manufacturing efficiency

-Implementation of improved installation techniques (IPlus® Infusion (steam cure small diameter technique))

-Lower fuel / resin prices

-Lower fixed costs for equipment

§Win rate by $ increasing as we focus on large projects:

-Win rate increased to 55% for first nine months of 2009, from 45% for full year of 2008

-Won 7 of 9 projects over $6 million in 2009

§Market pricing for CIPP tube contributing to increased margin - dollars and margin %

§Contract backlog $183.8 million at September, up 3% from $178.5 million in Sept 2008

OUTLOOK

§Continue to optimize market share

§Capture of stimulus work in 2010-2011

§Continuous improvement in project management capability

§Increase operating expense efficiency

§Grow third party tube sales business

NOTE:LTM 2009 as of September 30

North American Sewer Rehabilitation

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PERFORMANCE

§Gross margin trends very positive - 27.2%¹ (LTM Sept 2009) versus 22.3% for 2008

§Quality improvements - - large improvement on project execution (fewer project write-
downs)

§Backlog growing - $40.7 million at September 2009 versus $30.7 million at September
2008, a 32.6% improvement

§German JV performance improving - Insituform’s equity earnings improved to $1.0
million (LTM Sept 2009) versus $0.8 million in 2008, a 29% improvement

¹Excludes fourth quarter 2008 one-time gain from litigation settlement of $8 million recorded as revenues

NOTE:LTM 2009 as of September 30

European Sewer Rehabilitation

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PERFORMANCE / OUTLOOK

§Creating a capable execution organization on a market specific basis

§India - strong relationship with SPML, opening new regional markets

§Using recent Sydney award to grow share in Australian market

§Certified installer program to promote tube sales in small diameter
markets (Singapore, China)

NOTE:LTM 2009 as of September 30

Asia-Pacific Sewer Rehabilitation

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§Cities over 1 million people - 56

§Structure - - 50.5% owned JV with SPML

Overview / Outlook:

§Established solid base of operations in Delhi

§Recently successfully expanded outside of Delhi
with contract win in Uttar Pradesh

§Actively marketing to other major cities - Mumbai,
Hyderabad

§Chennai efforts important as they will establish
operations outside of monsoon belt

1

3

Current

capability

India

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Overview / Outlook:

§Hong Kong is the springboard into China

§Acquired remaining 50% of joint venture with
VSL in June

§Significant recent project wins direct with the
client will enable operational efficiencies

§Currently identifying potential CIPP installers in
China to become certified Insituform installers in
greater Guangzhou, Shanghai, Beijing, Wuhan
and Chongqing areas

1

Hong Kong / China

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§Estimated Addressable Market Size - $US195 million

§Cities over 1 million people - 4

§Overview / Outlook:

§Sydney represents largest trenchless rehabilitation market in Australia

§Focus on scaling up to establish fully-functional business platform
throughout Australia (specialized roles, crew productivity, etc.)

§During 2010 will establish service platform in Victoria

§During 2011 will establish service platform in Queensland

Current

capability

Planned
Expansion

Water
Opportunities

Australia

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§Estimated Addressable Market - $110 M (per annum)

Overview / Outlook

§Insituform purchasing former licensee to have execution capability

§Plan to bid on large diameter projects and institute a certified installer
program to sell tube and technical services for small diameter projects
(one already agreed upon)

§Opportunity - Approximately $300 million in sewer rehabilitation projects
to be tendered over next three years

Singapore

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CONSIDERATIONS

§Introduced Insitumain in March 2009 -

-Fully Structural CIPP water product

-Current capability- diameters from 6” to 12”, operating pressures up to 150 psi (working on
developing capability up to 24”), and any type of host pipe material - very important as it can
addresses 65-70% of market issues

-Epoxy resin system allows adhesive seal of connections (versus mechanical seal)

§Began pilot testing in the 3rd quarter with success

§Will continue pilot tests in the 4th quarter

§Already secured approximately $2 million in project awards, with more pending

NOTE:LTM 2009 as of September 30

Water Rehabilitation

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PERFORMANCE

§Integration completed with run rate savings > $6.5M (2010)

§Corrpro has performed as planned

§Bayou has performed well despite depressed natural gas pricing

->30% drop in ancillary businesses (CCSI, BWW, Baton Rouge Coating JV)

-Virtually no work in small diameter gas market in 2009

-Oil market rebounding, leading to increased quote activity late in the year

§UPS downturn related to lower copper and gas pricing - significant backlog growth in second half of
2009

§Platform sales momentum created by recent Mexican project awards (see next slide)

STRATEGIC OUTLOOK

§Strengthening bid table as commodity pricing recovers - Chile,
Australia, Canada, Middle East

§Target capital “light:” geographic expansions - Garneau (Canada)

§Platform momentum creates value added opportunities in key markets -
Oil Sands, Gulf of Mexico

§Concrete / Insulation expansion

NOTE:LTM 2009 as of September 30, excluding Acquisition-Related Transaction and Severance Costs

Energy and Mining

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§First significant cross E&M platform sale - total value $13 million

§Scope - oil and water line replacement, which includes elements for
TiteLiner®, CCSI, Corrpro, Bayou Welding Works

§Direct relationship with Petróleos Mexicanos (“Pemex”) (versus
contractors)

§Creates future opportunities for work with Pemex and well field
developers (Schlumberger, etc.)

§Robust bid table:

§Mexico - >$100 million in first half 2010

§Canadian Oil Sands

§North Sea

Project Summary - Poza Rico, Mexico

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§Will look for opportunities to expand capability:

ØPipeline inspection / leak detection - complementary
Corrpro capabilities on industrial side

ØFront-end development of maintenance programs -
complement our execution capability

ØFlexible pipe opportunities to access markets where dig
and replace will remain dominant

ØPipeline integrity services

Focus on Water for Future Growth

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Technology Innovator

Premier Brand / Long
Standing Customer
Relationships

Experience with Complex
Regulatory Environment

Project Management and
Execution Capability

Leader in Large and
Growing Markets

Energy & Mining

Wastewater

Our Business

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Appendix

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§The following is a reconciliation of Insituform's income from continuing operations to EBITDA:

(1) 9/30/09 Pro Forma EBITDA excludes all acquisition transaction costs incurred by Insituform, Bayou and Corrpro

EBITDA Reconciliation